DISTRICT COURT OF WOODWARD COUNTY STATE OF OKLAHOMA IN RE: The name of: Kathleen Long Berghuis CV -2015-26 PETITION COMES NOW the Petitioner and asks this Court to change his/her legal name from Kathleen Long Berghuis to Kathleen Morgan Long. In support thereof, petitioner would say to this court: 1. The Petitioner was born in Arcadia (Los Angeles County) CA on 11/11/1960 and has resided in the State of Oklahoma and in Woodward County for 30 days prior to thefiling of this petition. 2. The change of name requested is because he/she wishes to resume back to maiden name. 3. The change of name is not for any illegal or fraudulent purpose or to hinder or delay creditors. 4. The birth certificate number issued by the above State is 59308. WHEREFORE, Petitioner prays that above change of name be granted. /s/ Kathleen Long Berghuis 3013 Edgewood Drive Woodward Oklahoma 73801 580-334-8226
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