STATE OF NORTH DAKOTA IN DISTRICT COURT COUNTY OF CASS EAST CENTRAL JUDICIAL DISTRICT In the matter of the Application of Nayeli Melisa Chavez for name change Nayeli Melisa Orozco, Case No. PETITION FOR NAME CHANGE [1] This petition is made pursuant to North Dakota Century Code Chapter 32-08-02. The undersigned Petitioner, sworn and affirmed on oath, states that: a. This Petition is made in good faith, without intent to defraud or mislead. b. The Petitioner, who is asking to have her name changed on this application, has lived in the City of Fargo, County of Cass, State of North Dakota for at least six months immediately prior to the date of this petition, and now resides at 1909 13 ½ Street S., #18, Fargo, North Dakota 58103. c. The present name of the Petitioner is Nayeli Melisa Chavez. d. Petitioner requests to have her name changed to Nayeli Melisa Orozco, a portion her original birth name and her father’s surname. Her full former name was Nayeli Melisa Orozco Chavar