STATE OF INDIANA
COUNTY OF KOSCIUSKO
IN THE KOSCIUSKO COUNTY CIRCUIT COURT
CASE NO. 43C01-2511-MI153
IN RE THE MATTER OF:
Rachel Jessenia Zehr
Petitioner
VERIFIED PETITION FOR CHANGE OF NAME
Rachel Jessenia Zehr, respectfully petitions the court to change their name. In support of this Petition, Petitioner states as follows:
1. That my current name is Rachel Jessenia Zehr.
2. That my date of birth is January 17, 2003.
3. That my Indiana driver’s license number/Indiana identification card number is 9370671541; and I will bring my Indiana driver’s license or identification card to my Change of Name Hearing for verification.
4. That I get mail at this address: 907 1/2 North Harrison Street, Syracuse, Indiana 46567.
5. The following is a list of all my previous names: Maiya Jessenia Galeano.
6. I do not have a valid United States passport.
7. The following judgements of criminal conviction of a felony under the law of any state or the United States have been entered against me, or I have stated immediately below that I have no felony convictions.
8. I am not seeking to defraud creditors by changing my name.
9. I have published notice of my request for change of name in a local publication as required by law, and will bring proof of publication to the hearing.
10. I am not a sex or violent offender who is required to register under Indiana Code §11-8-8.
12. I request that: the name of my birth certificate not be changed.
WHEREFORE, I respectfully request that this Court grant this Petition for Name Change and for all other just and proper relief.
I affirm under penalties for perjury that the foregoing representations and statements are true.
Rachel Zehr
STATE OF INDIANA
COUNTY OF KOSCIUSKO
Before me Teryn Pierce, a notary public Kosciusko County, State of Indiana, personally appeared Rachel Zehr, and being first duly sworn upon their oath, says that the facts alleged in the foregoing instrument are true.
Date: 11/20/2025
Notary Public: Teryn Pierce
My Commission Expires: 07/16/2033