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PETITION FOR CHANGE OF NAME OF MINOR STATE OF INDIANA COUNTY OF KOSCIUSKO COURT DOCKET NO. 43C01-1103-MI-15 NAME OF PETITIONER(S) MYUNGHOON BRANDON LEE by next of friend JORDAN LEE (mother) IN RE: THE CHANGE OF NAME OF MINOR FROM: MyungHoon Brandon Lee TO: Matthew Eugene Kirsch 1. Birth Date and Place: The minor was born on June 1, 1994 in Kwang J, South Korea. 2. Birth Name: The minor was named MyungHoon Jun at birth, and as of the date of this petition, the minor has always been known by that name, with the following exceptions, if any: MyhungHoon Brandon Lee 3. Residence: The minor resides at 3109 E. 100 N, Warsaw, IN and has lived at this address for 8 years. The Petitioner(s)) resides at 3109 E 100 N, Warsaw, IN and has lived at this address for 8 years 4. Minor's Parents: The father of the minor is named Robert Joseph Lee, and he resides at 311 South Lake Street, Warsaw, IN. The mother of the minor is named Jordan Lee, and she resides at 3109 E. 100 N., Warsaw, IN 5. Reason for Name Change: Petitioner(s) seek to change said minor's name to Matthew Eugene Kirsch and offer the following reason for seeking to do so: Americanizing his name. 6. Legal and Creditor Status: The minor does not have any outstanding judgments, and has never been convicted of a crime, and is no involved in any pending legal actions. 7. Additional Declarations: In addition to the foregoing statements, the Petitioner(s) further declares: None NOW, THEREFORE, the Petitioner(s) request that the court order the miners name changed as follows: From: MyungHoon Brandon Lee To: Matthew Eugene Kirsch VERIFICATION (Petitioner #1) I, Jordan Lee, affirm under penalty of perjury that I am the (a) Petitioner in the foregoing Petition to Change Name of Minor and that all statements in this Petition are accurate to the best of my knowledge. Jordan Lee 3109 E. 100 N Warsaw, IN 46582-8103 Subscribed and sworn before me on this 7th day of March, 2011 Kathy J. Boggs, Notary m11,18,25
