Fill and Sign the Child Name Changenebraska Judicial Branch Form

IN THE DISTRICT COURT FOR COUNTY, NEBRASKA ) IN THE MATTER OF THE PETITION OF ) ) ) ) Minors ) FOR A CHANGE OF NAME TO ) NO. ) ) ) ) ORDER FOR NAME CHANGE THIS matter came on for hearing on a Petition to Change Name filed by ____________________________________, on behalf of the Minor Petitioner and the court after having considered said Petition finds as fact as follows: A. 1. That this Court has jurisdiction of the parties and subject matter and venue is proper. 2. That the Minor Petitioner, ____________________________________, is a bona fide resident of the County of __________________, State of Nebraska, whose residence address is ____________________________________. Minor Petitioner has been a resident of __________________ County, State of Nebraska for ____________ years immediately prior to filing this Petition. Minor Petitioner was born on the ______ day of __________________, ______, in the County of __________________, State of __________________. 3. Minor Petitioner’s present name is ____________________________________. This is the current name of Petitioner on his / her 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 Minor Petitioner’s name will not be detrimental to the interests of any other person and is not against the public interest. 6. That Minor Petitioner is not confined to a department of correction facility. This Petition is not filed to defraud creditors. 7. Minor Petitioner is (check one) not married or is married to ____________________________________. 8. Minor Petitioner (check one) ______ owns no real estate or ______ owned real estate in __________________ County, __________________. 9. Minor Petitioner has met the publication requirements. B. 10. That this Court has jurisdiction of the parties and subject matter and venue is proper. 11. That the Minor Petitioner, ____________________________________, is a bona fide resident of the County of __________________, State of Nebraska, whose residence address is ____________________________________. Minor Petitioner has been a resident of __________________ County, State of Nebraska for ____________ years immediately prior to filing this Petition. Minor Petitioner was born on the ______ day of __________________, ______, in the County of __________________, State of __________________. 12. Minor Petitioner’s present name is ____________________________________. This is the current name of Petitioner on his / her social security card and all other records. 13. That the Petitioner prays for the change of name for the following reasons: (describe in detail): 14. That the proposed change in the Minor Petitioner’s name will not be detrimental to the interests of any other person and is not against the public interest. 15. That Minor Petitioner is not confined to a department of correction facility. This Petition is not filed to defraud creditors. 16. Minor Petitioner is (check one) not married or is married to ____________________________________. 17. Minor Petitioner (check one) ______ owns no real estate or ______ owned real estate in __________________ County, __________________. 18. Minor Petitioner has met the publication requirements. IT IS THEREFORE ORDERED, ADJUDGED AND DECREED, that the name of the said MINOR PETITIONER ____________________________________ and ____________________________________ is hereby changed to ____________________________________ and ____________________________________, respectively, and Minor Petitioner is hereby authorized to hereafter use said name as a legal name; and that such change shall be made and entered herein as record of this Court. DATED this ______ day of __________________, 20______. BY THE COURT: ____________________________ DISTRICT COURT JUDGE Prepared and Presented by: