Fill and Sign the Filing Fees and Court Costsnebraska Judicial Branch Form

IN THE DISTRICT COURT FOR COUNTY, NEBRASKA)IN THE MATTER OF THE PETITION OF)) ) )Petitioners ) ) ) )Minors)FOR A CHANGE OF NAME TO)NO. ) ) ) ) ) ) )) PETITION FOR NAME CHANGE COMES PETITIONERS: ____________________________________ and ____________________________________ by this petition, and upon being duly sworn, respectfully represents and shows unto the Court: A. 1.That the Petitioner is of full legal age and is a bona fide resident of the County of __________________, State of Nebraska, whose residence address is ____________________________________. Petitioner has been a bona fide resident of __________________ County, State of Nebraska for ____________ years immediately prior to filing this Petition. Petitioner was born on the ______ day of __________________, ______, in the County of __________________, State of __________________.2. Petitioner’s present name is ____________________________________. This is the current name of Petitioner on his social security card and all other records. 3.That the Petitioner prays for the change of name for the following reasons: (describe in detail): 4. That the proposed change in the Petitioner’s name, if granted, will not be detrimental to the interests of any other person and is not against the public interest.5. That Petitioner is not confined to a department of correction facility. This Petition is not filed to defraud creditors.6.Petitioner is (check one) not married or is married to ____________________________________.7. Petitioner (check one) owns no real estate or owned real estate in __________________ County, __________________. B. 8. That the Petitioner is of full legal age and is a bona fide resident of the County of __________________, State of Nebraska, whose residence address is ____________________________________. Petitioner has been a bona fide resident of __________________ County, State of Nebraska for ____________ years immediately prior to filing this Petition. Petitioner was born on the ______ day of __________________, ______, in the County of __________________, State of __________________.9. Petitioner’s present name is ____________________________________. This is the current name of Petitioner on his social security card and all other records.10.That the Petitioner prays for the change of name for the following reasons: (describe in detail): 11. That the proposed change in the Petitioner’s name, if granted, will not be detrimental to the interests of any other person and is not against the public interest.12. That Petitioner is not confined to a department of correction facility. This Petition is not filed to defraud creditors.13.Petitioner is (check one) not married or is married to ____________________________________. 14.Petitioner (check one) owns no real estate or owned real estate in __________________ County, __________________. C. Petitioners request the Court grant the following name changes to the minor children of the Petitioners: FromTo Wherefore, the Petitioner prays that, by an Order of this Court, made and entered herein, the names of Co-Petitioner’s and their minor children be changed to and decreed to be: FromToPetitioners: Minor Children: Respectfully Submitted, Signature of Party Printed Name Address City, State, and Zip Telephone Number Signature of Party Printed Name Address City, State, and Zip Telephone NumberSubscribed and sworn to before me on this the _______ day of ________________, 20_____. CLERK OF THE DISTRICT COURT ________________________ orBy ________________________Notary Public Deputy ClerkMy Commission Expires ____________