Fill and Sign the Hearing Change Court Form

      Name       Street Address       City, State, Zip       Telephone Number In the Matter of the Application of:       Your Name To Assume the Name of:       Name you wish to assume Superior Court Of New Jersey Law Division       County Docket No.       (To be filled in by the court) CIVIL ACTION Order Fixing Date of Hearing Application be made to the Court by       , (your name, first, middle, last) for a judgment authorizing (check one) his her to assume another name and for the entry of an order fixing a date for the hearing of such application, DO NOT WRITE BELOW THIS LINE THE COURT WILL COMPLETE IT IS ON THIS       day of       , 20       , ORDERED that the       day of       , 20       , at       a.m., or as soon thereafter as the matter may be heard, at the courthouse in the City of       , County of       , State of New Jersey, be fixed as the time and place for the hearing of such application and of any objections that may be made thereto. IT IS FURTHER ORDERED that a notice of such application be published in       once, at least two (2) weeks preceding the date set for the hearing. J.S.C. NOTE: Copies of the verified complaint and order fixing the date of the hearing must be sent via regular mail and certified mail to the newspaper for publication and served on the County Prosecutor and/or the Office of the Attorney General if there are criminal charges pending. Revised03/21/2016, CN 10551 - Name Change (Adult), Form B Page 1 of 1