IN THE CIRCUIT COURT FOR ____________________, MARYLAND

EX PARTE
IN THE MATTER OF
THE PETITION OF Civil No.______
Nathaniel Carlton Furbert

MOTION FOR NOTICE BY POSTING IN LIEU OF PUBLICATION

Comes now the Petitioner, Nathaniel Carlton Furbert , ____________________ , and

requests that this Court dispenses with notice by publication , as provided for in the
Maryland Rules of Procedure , Rule BH72(a) , and post notice pursuant to Rule 2-122
instead , and as grounds therefore states there is no reason or reasons to require an order
of publication to notify the person who may want to object because (he/she) knows
of no person who will be harmed by the change of name of the Petitioner from
Nathaniel Carlton Furbert to Nathaniel Carlton Fortier .

I SOLEMNLY affirm under the penalties of perjury that the contents of the
foregoing are true and correct to the best of my knowledge , information , and belief.

______________________________
Nathaniel C. Furbert
 IN THE CIRCUIT COURT FOR ____________________, MARYLAND

EX PARTE
IN THE MATTER OF
THE PETITION OF Civil No.______
Nathaniel Carlton Furbert

AFFIDAVIT OF ( Nathaniel Carlton Furbert ) IN SUPPORT OF

PETITION FOR CHANGE OF NAME AND IN SUPPORT OF
MOTION FOR NOTICE BY POSTING IN LIEU OF PUBLICATION

COMES NOW the Petitioner , Nathaniel Carlton Furbert , who deposes under
oath and penalties of perjury in support of the Petition for Name Change and in support
of the Motion for Notice by Posting, and states as follows:

1. I am over the age of 18, and I am the Petitioner in these proceedings, and I have
personal knowledge of the facts stated in the Petition for Change of Name filed with the
Court.

2. I want to change my name to Nathaniel Carlton Fortier .

3. I do not want to change my name for any illegal or fraudulent purpose .

4. I know of no person who will be harmed by the change of my name from

Nathaniel Carlton Furbert to Nathaniel Carlton Fortier .

5. No credit has been extended to me under the name of

Nathaniel Carlton Furbert since __________ .

I SOLEMNLY affirm under the penalties of perjury that the contents of the
foregoing are true and correct to the best of my knowledge , information and belief .

_______________________________
Nathaniel Carlton Furbert
STATE OF MARYLAND

CITY OF BALTIMORE

On this _____ day of __________ , 20___ , before me , a Notary Public in and for
the State and County aforesaid, personally appeared ____________________ in the
above-entitled cause, who executed the aforegoing Affidavit and made oath in due form
of law, under penalties of perjury, that the facts and statements contained in this Affidavit
are true and correct and that (he/she) acknowledged to me that (he/she) freely and
voluntarily executed the same for the purpose named therein.

IN TESTIMONY WHEREOF , I hereunto set my hand and affix my Notarial Seal,

this _____ day of _______________ , 20___ .

_____________________________
Notary Public

My commission expires : _______________

 IN THE CIRCUIT COURT FOR ____________________, MARYLAND

EX PARTE
IN THE MATTER OF
THE PETITION OF Civil No.______
Nathaniel Carlton Furbert

ORDER PERMITTING PETITIONER TO DISPENSE

WITH NOTICE BY PUBLICATION AND FOR POSTING

Upon consideration of the Petitioner’s Motion for notice by posting in Lieu of

Publication, and Affidavit in Support thereof, it is therefore this _____ day of
__________ , 20____ , by the Circuit Court for _______________________ , Maryland ,

ORDERED, that notice of the Petitioner’s Petition for Change of Name be posted
pursuant to Maryland Rule 2-122 .

_______________________________
JUDGE, Circuit Court for
____________________ , Maryland
 IN THE CIRCUIT COURT FOR ____________________, MARYLAND

EX PARTE
IN THE MATTER OF
THE PETITION OF Civil No.______
Nathaniel Carlton Furbert

ORDER FOR CHANGE OF NAME

Upon consideration of the Petition for Change of Name and Affidavit

of Nathaniel Carlton Furbert , it is therefore , this ____ day of ___________20___ ,
by the Circuit Court for ____________________ , Maryland :

ADJUCATED , ORDERED and DECREED , that the name of

Nathaniel Carlton Furbert_ be and the same is hereby changed from

Nathaniel Carlton Furbert

to
Nathaniel Carlton Fortier

as requested in the petition .

_______________________________
JUDGE, Circuit Court for
____________________ , Maryland
 IN THE CIRCUIT COURT FOR ____________________, MARYLAND

EX PARTE
IN THE MATTER OF
THE PETITION OF Civil No.______
Nathaniel Carlton Furbert

ORDER

This is to give notice that on this ____ day of _______________ , 20____ , a Petition
for Change of Name was filed in the Circuit Court for _________________________ ,
Maryland . The Petition states in substance that Nathaniel Carlton Furbert was born
on March 23, 1970 and now lives at 1203 Windemere Avenue, Baltimore, Maryland
21218 . The Petitioner wishes to change his name from Nathaniel Carlton Furbert
to Nathaniel Carlton Fortier .

WHEREUPON, IT IS ORDERED, by the Circuit Court for ____________________,

Maryland , this ____ day of _______________ , 20____ , that the Petitioner cause a copy
of this Order to be posted on the bulletin board of the Court House in _______________,
Maryland for a period of ____ days from the date of this Order, giving notice to all
interested parties of the object and substance of the Petition and warning them to show
cause , if any , on or before the ____ day of _______________ , 20____ , why an Order
should not be passed as requested .

_______________________________
JUDGE, Circuit Court for
____________________ , Maryland