Fill and Sign the Ak Name Change Form

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT       In the Matter of a Change of Name for: ) )       , ) A Minor Child (current legal name) ) ) By:       , ) CASE NO.       CI Petitioner (parent or legal guardian). ) ) ) JUDGMENT THIS matter came on for hearing on a Petition for Change of Name filed by Petitioner and the court, after having considered said Petition, finds as follows: 1. That this Court has jurisdiction of the parties and subject matter and venue is proper. 2. That the Petitioner is of full legal age and is a bona fide resident of the County of ____________________ , State of Alaska, whose residence address is __________________________________ . Petitioner has been a bona fide resident of ______________ County, State of Alaska for _________ years immediately prior to filing this Petition. Petitioner was born on the ________ day of _____________ , __________ , in the County of ___________________ , State of ____________________ . 3. Petitioner’s present name is ___________________________ . This is the current name of Petitioner on his social security card and all other records. 4. That the Petitioner prays for the change of name for the following reasons: (describe in detail):                         5. That the proposed change in the Petitioner’s name will not be detrimental to the interests of any other person and is consistent with the public interest and that sufficient reasons exist for the change of name. 6. This Petition is not filed to defraud creditors. Judgment Page 1 of 2 IT IS THEREFORE ORDERED, ADJUDGED AND DECREED, that the name of the said PETITIONER ____________________________________ is hereby changed to ____________________________________ ; Petitioner is hereby authorized to use said name as a legal name after the Judgment has been published and proof of publication has been filed with the Court as required by AS 09.55.010. DATED this ______ day of ____________ , 20 ______ . BY THE COURT: ____________________________________ SUPERIOR COURT JUDGE Prepared and Presented by:                         Judgment Page 2 of 2