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AOC-296 Doc.Code:ONC Rev. 4-04 Commonwealth of Kentucky Court of Justice KRS Chapter 401 NAME CHANGE ORDER Case No. ________________ Court ____District__________ Division ___________________ County ___________________ IN RE: CHANGE OF NAME FOR PETITIONER(S), (choose one) and , living parents of the above captioned minor ; or , surviving parent of the above captioned minor, or , guardian of the above captioned minor, or above captioned adult, having filed a petition for name change, and the Court having held a h earing on the matter the Court makes the following FINDINGS OF FACT: 1. The original name is 2. The desired name change is . 3. The minor, being less than 18 years old, / or the adult, being at least 18 years old, is years of age, his/her birthdate being , and his/her birthplace being , , City County State 4. The minor/adult is currently a resident of the county in which this pe tition is filed, his/her address being , , Street County City Kentucky, . Zip Code 5. For a minor’s petition only: a. The name of the minor’s father, if known, is . b. The name of the minor’s mother, if known, is . Based on the above findings of fact, IT IS HEREBY ORDERED that the na me is changed. _________________________________________ Judge Dated __________________________________, ________. Attorney Name and Address (If any) NOTICE TO ADULT PETITIONER: Pursuant to KRS 186.540, if you have applied for or are in receipt o f a Kentucky driver’s license, you have ten (10) days after entry of this Order to notify the Kentucky Transpo rtation Cabinet in writing of your name change and the number of y our current driver’s license. NOTICE TO CLERK: Pursuant to KRS 401.040, if a name change is Ordered, send a certif ied copy of this Order to the county clerk for recording and instruct the petitioner to pay the county clerk’s record ing fee. KRS 64.012.