IN THE DISTRICT COURT OF CLEVELAND COUNTY STATE OF OKLAHOMA ) ) ) ) ) ) )

IN THE MATTER OF THE APPLICATION OF Rebecca Ann Barbato TO CHANGE HER NAME

No. ________________

PETITION FOR CHANGE OF NAME COMES NOW Rebecca Ann Barbato, the petitioner, and shows to the court: 1. The full and correct name of the petitioner is Rebecca Ann Barbato; and her address is 933 SW 14th Street, Moore, Cleveland County, State of Oklahoma. 2. The petitioner now is, and has been for more than thirty (30) days next preceding the filing of this petition, domiciled in the State of Oklahoma, and has been an actual resident of Cleveland County for more than thirty (30) days preceding the filing of this petition. 3. The petitioner was born on the 12th day of February in the year 1983 in Lafayette, Lafayette Parish, State of Louisiana. 4. The petitioners birth certificate number is _____________ and is registered in __________ Parish. 5. The petitioner desires to have her present name changed from Rebecca Ann Barbato to Rebecca Ann Vitsmun. 6. The petitioner seeks to have her name changed for the following reason: Upon marrying, Rebecca and her husband decided to begin their family with a new surname. Vitsmun is derived from the Icelandic word for cognitive, which

is the country in which their marriage began.

7. The petitioner does not seek to have her name changed for any illegal or fraudulent purpose, or to delay or hinder creditors. WHEREFORE the petitioner prays for an order and judgment of the court changing her name from Rebecca Ann Barbato to Rebecca Ann Vitsmun. ________________________ PETITIONER

VERIFICATION STATE OF OKLAHOMA COUNTY OF CLEVELAND ) ) ss.

Rebecca Ann Barbato, of legal age, being first duly sworn upon oath deposes and states that she is the petitioner of the foregoing petition; that she has read the same and that the facts and matters stated therein are true and correct. _____________________ (signature) Subscribed and sworn to before me, a Notary Public, on this day _____________. _____________________ Notary Public My Commision expires: _____________________

IN THE DISTRICT COURT OF CLEVELAND COUNTY STATE OF OKLAHOMA ) ) ) ) ) ) )

IN THE MATTER OF THE APPLICATION OF Rebecca Ann Barbato TO CHANGE HER NAME

No. ________________

NOTICE OF FILING PETITION FOR CHANGE OF NAME To Whom It May Concern: Take notice that Rebecca Ann Barbato has filed in the above court a Petition to have her name changed as follows: From Rebecca Ann Barbato to Rebecca Ann Vitsmun; and that the same will be heard by the District Court of Cleveland County, Oklahoma, in the Cleveland County Courthouse, Court room _______ located at ____________________________, ____________, Oklahoma, on the _______ day of _________________, 20____, at ____________ o'clock __.m.; and that any person may file a written protest in the case prior to the date set for hearing.

Dated this ______ day of ___________________, 20_____.

____________________________________ JUDGE OF THE DISTRICT COURT

Petitioner: Rebecca Ann Barbato

933 SW 14th Street Moore, Oklahoma (405) 213 - 1233

IN THE DISTRICT COURT OF CLEVELAND COUNTY STATE OF OKLAHOMA ) ) ) ) ) ) )

IN THE MATTER OF THE APPLICATION OF Rebecca Ann Barbato TO CHANGE HER NAME

No. ________________

ORDER FOR CHANGE OF NAME This matter came on for hearing this _____ day of _______________, 20____, before a District Judge of the District Court in and for Cleveland County, State of Oklahoma, upon the verified application of Rebecca Ann Barbato for change of name, filed in this Court on the _____ day of _______________, 20____; and the petitioner appearing personally, and the Court having heard evidence of the witnesses duly sworn, finds: 1. That the petitioner now is, and has been for more than thirty (30) days next preceding the filing of this petition, domiciled in the State of Oklahoma, and has been an actual resident of Cleveland County for more than thirty (30) days preceding the filing of this petition. 2. That the notice of filing said petition has been given by publication in a newspaper of general circulation in Cleveland County for at least ten (10) days prior to this hearing as reflected by the proof of publication filed in this case. 3. That the petitioner was born on the 12th day of February in the year 1983 in Lafayette, Lafayette Parish, State of Louisiana, where the

petitioner's birth was recorded. 4. That the petitioner desires to have her present name changed from Rebecca Ann Barbato to Rebecca Ann Vitsmun and that the petitioner is entitled to such relief for the reason set forth in the verified petition, and that the petitioner does not seek to have her name changed for any illegal or fraudulent purpose or to delay or hinder creditors. IT IS THEREFORE ORDERED, ADJUDGED, AND DECREED BY THE COURT petitioner's name is hereby changed from Rebecca Ann Barbato to Rebecca Ann Vitsmun and that the Bureau of Vital Statistics is ordered to make this change upon petitioner's official records, and that copies of this order may be furnished to other necessary agencies to make such change upon the petitioner's official records.

____________________________________ JUDGE OF THE DISTRICT COURT