Complaint,Petition: In the District Court of OTOE County The Case ID is CI 24 0000079 Rebecca N Crunk, Change of name The Honorable Julie D Smith, presiding. Classification: Name Changes Filed on 04/04/2024 This case is Open as of 04/04/2024

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                                Nebraska State Court Form
     DC 6:9.1 Rev. 08/2023
     Neb. Rev. Stat. § 25-21,271



       IN THE DISTRICT COURT OF ( yvO é                                          COUNTY, NEBRASKA :
                                                                                                                       £.
                                                                                                                oh.-
                                                                                                                            ey
 IN RE NAME CHANGE OF:                                                Case No.      CDMA
                                                                        (case number assigned by clerk of court)

Reoecca              Nicole             Cronk                     >
                   (your full name)                                        PETITION FOR NAME
                                                                              CHANGE (Adult)




 L Rebecca                               Nicole                                     Cronk                          >
          (current first name)            (current middle name(s))                   (current last name(s))
 without the assistance of an attorney, ask this court for a name change. In support
 of this Petition, I state that the following items are true:

  1.    Myaddressis ]7/9                 2nd          Ave
                                              (your present street address)
                                                                  oV0€                 County, Nebraska.
         Nebraska         Cth
           (city where you live)’   /                 >
                                                           (county where you live)
        I have been a resident of                2. Cars                                    County, Nebraska
                                                   (county where you live )
        for more than one year prior to the filing of this petition.

        My date of birth is provided on the Confidential Party Information Form
        (DC 6:9.4).
 4      My current name is:

       Rebecca                           Ai      cole                                Cronk
         (current first name)             (current middle name(s))                   (current last name(s))
 5.     Idesire the court to change my current name of:
       Rebecca                           Nicole                                      Crunk
         (current first name)             (current middle name(s))                  (current last name(s))
        to my preferred new name of:
         ebecca                          Wr       cole                            Edmunds
            (new first name)                   (new middle name(s))                     (new last name(s))




DC 6:9.1 Rev. 08/2023                                     e 1 o                        Pe
                                                                                                  TIONAL      000067266D11
6.     Idesire to change my name for the following reasons:

  To          tale..on.             my      _ Ite       perrnes           Jerk. name. LT
      Widh            do           Share        the       Sate         last. Natt. GS
      Cov          Chilclerr,                                          oe                    on




      WHEREFORE, I respectfully request that the court set this matter for hearing,
      and that upon such hearing, order my current name to be changed from:

   Rebecca                            Nicole                                 Cruate
            (current first name)           (current middle name(s))           (current last name(s))
           to my preferred new name of:
           ebtcca                        WMicoale                           Edmonds
             (new first name)               (new middle name(s))               (new last name(s))




  Signature LZ en                          Copik                   Date:    4- Y- ZoZY
  Printed Name: Rebeces,                        Crunk
  Street Address/P.O. Box: / 7/7                    Cnc        fAue-
  City/State/ZIP Code: Abb yaska  City ME   6 S40
  Telephone Number:_402 - Zo 9- ~74o
  *Email address: (eAmonds 444 Q aps. L Cort
  *    Nebraska Supreme Court Rule § 2-208 requires individuals who are not
  attorneys and representing themselves to provide their email address. The court
  will use the email address to send notices from the court about this case except for
  items that require another type of service as directed by statute or Nebraska
  Supreme Court Rule.

  If you no longer have email capability or if your email or other contact
  information changes, you must complete a Change of Contact Information Form.
           By checking this box, I am letting the court know that I do not have the ability
  to receive emails. The reason I cannot receive email is:




DC 6:9.1 Rev. 08/2023                            Page 2 of 2                    Petition for Name Change