The State of Utah to the Respondent

______(Name) ______(Address) ______(City) ______(Telephone)

______DISTRICT COURT, ______COUNTY, UTAH

COURT’S ADDRESS: ______

IN THE MATTER OF THE NAME CHANGE OF: SUMMONS ______,. (minor’s name)

Case No. ______A child. Judge ______

THE STATE OF UTAH TO THE RESPONDENT:

You are summoned and required to file a written response to the attached Petition for Minor’s Name Change with the Clerk of the above Court, at the following address: ______(Court’s address)

You must also send a copy of your response to the Petitioner by first class mail, postage prepaid, to the address for Petitioner, listed above. You may choose to deliver the copy of your response to the Petitioner in person, so long as no court order prohibits you from contacting the Petitioner or minor named above. After you

Minor’s Name Change: Summons, p. 1 Approved: November 19, 2004 have been served with this Summons and the Petition, your response must be filed with the Court, and postmarked for delivery or hand-delivered to Petitioner within 20 days if you are served in Utah (or within 30 days if you are served outside Utah). To determine when to file your response, the actual date of service is not counted. Count the day after service as day one. Then count twenty days straight (or thirty days if served outside of Utah). If the twentieth day (or thirtieth day if served outside Utah) falls on a holiday or weekend when the Court is closed, then you have until the end of the next day that the Court is open to file. If you do not respond on time, the relief demanded in the Petition will be granted by default. The Petition has been filed with the Court. READ THESE PAPERS CAREFULLY. These papers mean that you are being given an opportunity to object to the name change of the minor named above.

DATED: ______Petitioner

Serve Respondent at the following address:

______

Minor’s Name Change: Summons, p. 2 Approved: November 19, 2004