Application for Name Change of a Minor
(Minn. Stat. 259.10)
State of Minnesota
Court File Number:
Case Type: Name Change
In the Matter of the Application of:
Ruth Ann Diffley
On Behalf of:
Gabriel Lawrence Hauan
For a change of name to:
Gabriel Lawrence Diffley
The undersigned applicant has sworn/affirmed on oath and states that:
1. This application is made in good faith, without intent to defraud or mislead.
2. The minor child(ren) whose name(s) are sought to be changed on this application have lived in the State of Minnesota for at least six months immediately prior to the date of this application, and now live at: 4005 24th Street South #217, Saint Cloud, MN 56301, Stearns County.
3. I am the parent(s) of the minor child(ren).
4. The current name(s) of minor child(ren) and date(s) of birth: Gabriel Lawrence Hauan, 4-17-08.
5. The name of the non-applicant parent(s): Matthew Justin Halderson.
6. The address of the non-applicant parent(s) is: __________
7. Applicant requests to have the name(s) of the minor child(ren) changed to: Gabriel Lawrence Diffley.
/s/ Ruth Diffley
4005 24th St. South #217
St. Cloud, MN 56301
10/3-10/17/13, Monticello Times, Hauan Name Change, 32638