Fill and Sign the Free Missouri Name Change Forms How to Change Your

IN THE CIRCUIT COURT OF ____________ COUNTY, MISSOURI AT ________________________ In Re the Petition of: ) ) ) ) ) ) CASE NO. ) For a Change of Name to: ) ) ) ) ) ) ) ) ) JOINT VERIFIED PETITION FOR NAME CHANGE COMES PETITIONERS ________________________ and ________________________ by this petition, and upon being duly sworn, respectfully represents and shows unto the Court:A. 1. Petitioner’s present name is: ______________________________. 2. Petitioner requests a change of name to: ______________________________. 3. That the Petitioner prays for the change of name for the following reasons: (describe in detail): ____________________________________________________________. 4. That the Petitioner is of full legal age and is a bona fide resident of the County of ________________________. 5. Petitioner’s date of birth: ________________________. 6. Petitioner’s place of birth: ________________________. 7. Petitioner’s father’s name is: ______________________________. 8. Petitioner’s mother’s maiden is: ______________________________. 9. Petitioner’s spouse’s name is: ______________________________ and she/he is the Co-Petitioner herein. 10. Petitioner’s children’s name(s), age(s) and place(s) of residence are: Name: Age: Address: Name: Age: Address: Name: Age: Address: Name: Age: Address: Name: Age: Address: 11. Petitioner’s name has not been previously changed, or Was previously changed as follows: Date: Court: Where: 12. There are: no unsatisfied money judgments presently pending against the Petitioner, or the following unsatisfied money judgments are pending against the Petitioner: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: 13. There are: no actions for money presently pending against the Petitioner, or the following actions for money are pending against the Petitioner: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: 14. The proposed change in the Petitioner’s name, if granted, will not be detrimental to the interests of any other person. 15. The Petitioner is not confined to a department of corrections facility. 16. This Petition is not filed to defraud creditors. B. 1. Petitioner’s present name is: ______________________________. 2. Petitioner requests a change of name to: ______________________________.. 3. That the Petitioner prays for the change of name for the following reasons: (describe in detail): ____________________________________________________________. 4. That the Petitioner is of full legal age and is a bona fide resident of the County of ________________________. 5. Petitioner’s date of birth: ________________________. 6. Petitioner’s place of birth: ________________________. 7. Petitioner’s father’s name is: ______________________________. 8. Petitioner’s mother’s maiden is: ______________________________. 9. Petitioner is married to the Co-Petitioner ______________________________ 10. Petitioner’s name has not been previously changed, or Was previously changed as follows: Date: Court: Where: 11. There are: no unsatisfied money judgments presently pending against the Petitioner, or the following unsatisfied money judgments are pending against the Petitioner: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: 12. There are: no actions for money presently pending against the Petitioner, or the following actions for money are pending against the Petitioner: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: Court: Case No.: Plaintiff: Defendant: 13. The proposed change in the Petitioner’s name, if granted, will not be detrimental to the interests of any other person. 14. The Petitioner is not confined to a department of corrections facility. 15. This Petition is not filed to defraud creditors. C. Petitioners request the Court grant the following name changes to the minor children of the Petitioners: From To 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: From To Petitioners: Minor Children: Respectfully Submitted, ____________________________________ Signature of Petitioner ____________________________________ Signature of Petitioner Address: Phone: Subscribed and sworn to before me on this the day of , 20 . CLERK OF THE CIRCUIT COURT ________________________ or By _______________________________ Notary Public Deputy Clerk My Commission Expires: