Fill and Sign the Petitioner for Form

IN THE CHANCERY COURT OF ___________________ COUNTY, MISSISSIPPI IN THE MATTER OF THE PETITION OF_______________________, PETITIONER FORCHANGE OF NAME CAUSE NO. __________________ ORDER ON PETITION TO CHANGE NAME THIS DAY this cause came on for hearing on Petition of the Petitioner, __________________, to change name and after having considered said Petition and finding that the Court has jurisdiction of the parties and subject matter, finds as follows: 1. That this Court has jurisdiction over the parties and subject matter. 2. That Petitioner, __________________, is an adult bona fide resident citizen of __________________ County, Mississippi, whose current residence and mailing address is __________________, __________________, Mississippi __________________. Petitioner has been such for more than six (6) months preceding the date of filing of this Petition; this Court has proper jurisdiction of the Petitioner and of the subject matter. 3. That Petitioner was born on __________________, to __________________ and __________________ in __________________, and his/her Social Security Number is __________________. 4. That Petitioner desires to change his/her name to “__________________”. Petitioner provided as grounds that: __________________. 5. That the Petitioner is not the convict of a felony and that the Petition is not filed to change the name of Petitioner for any unlawful purpose nor to commit fraud on any person. Petitioner has never filed bankruptcy and there are no claims, demands, liabilities or obligations
To any creditors, or in debt to any other person. 6. That the petition was never filed to change the name of the convicted felon; the petitioner is never required to do so nor can he do so, and he is not prohibited by any law from doing so. 7. That the petitioner has never been convicted of a felony; the petitioner knows the facts of this case fully and that the petitioner has been such since, to and in , and such felonies are enumerated in section, mississippi code of 1960, title 39, chapter 431, as amended, and this court has the necessary authority to set aside the sentence received under such subsection, as well as all convictions held on or after the effective date of this act and to cancel the sentence and to return petitioner to the condition in which he was when the plea of guilty was entered ; and as such petition is filed, as set forth above, the court is in no position to grant petitioner relief. 8. That the petitioner is not the subject of any injunction, writ of error, summons or process issued or lawfully served after the effective date of this act by any other judicial or quasi-judicial body other than the commission court, the court of appeals or the district attorney, and that such injunctions, writs of error, summons or processes are void, are without effect, are void and cannot issue, have no force or effect, and cannot be enforced, and in no way deprive any other person of the protections he/she would otherwise have, as provided by law, from unlawful and wrongful acts of the subject. 9. That the petitioner has no other criminal record to show and his/her name has not been changed elsewhere than the name of petitioner with authority ; 10. That the petitioner is not required to get a special certificate from an officer or judge of the commission court for issuance of a change of name under this act, in order to change his/her name with authority. 11. That the petitioner is not engaged in any unlawful business, occupation, trade or occupation; 12. That the petitioner has been so advised by the clerk of the court in this case; 13. That the petitioner has not been convicted of any felony other than a misdemeanor and that this act does not apply to the petitioner if such other felony is not capital. Petitioner had been convicted of a felony after conviction in that state in Mississippi. On the petitioner's petition of change of name to. Mr. Mcdaniel, counsel for the petitioner