Petition For Name Change Of Minors

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NO. _________________________
IN THE DISTRICT COURT
PETITION FOR NAME CHANGE
JUDICIAL DISTRICT
FOR
STATE
MINOR CHILD(REN)
Petitioner:
Date:
Residence:
Relationship to Child(ren):
q Father
q Mother
q Legal Guardian
I, the Petitioner, wish to legally change the names of the following minor child(ren):
Current Name
New Name
I am requesting that the court allow me to change the aforementioned name(s) for the following
reason(s):
I swear and attest that the child(ren) is/are under the age of 18 and not emancipated.
Petitioner Signature
Date
Natural Mother Signature
Date
Natural Father Signature
Date

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