NOTICE OF PETITION FOR CHANGE OF NAME

STATE OF INDIANA

SS

COUNTY OF KOSCIUSKO

IN RE THE NAME CHANGE OF:

POLINA ALEXANDROVNA PRATER, Petitioner

IN THE KOSCIUSKO CIRCUIT COURT

CASE NO. 43C01-1902-MI-39 AMENDED

    Polina Alexandrovna Prater, whose mailing address is: 2516 Orchard Dr., Winona Lake, IN 46590. And, if different, my residence address is: Same as above, Kosciusko County, Indiana hereby gives notice that Polina Alexandrovna Prater has filed a petition in the Kosciusko Circuit Court requesting that her name be changed to Anna Polina Alexandrovona.

    Notice is further given that hearing will be held on said Petition on August 30, 2019, 8:30 a.m.

Polina A. Prater, Petitioner

Date: 6/25/19

Ann Torpy, Clerk

of Kosciusko Circuit Court

7-5,12,19 hspaxlp