Fill and Sign the In the Court of County Mississippi Plaintiff Vs Cause No Form

#41537 IN THE CHANCERY COURT OF THE ________ JUDICIAL DISTRICT OF ____________ COUNTY, MISSISSIPPI ____________________ PLAINTIFFVS. CAUSE NO. _________________________________ DEFENDANT ORDER GRANTING NAME CHANGE This day this cause of action came on for hearing upon the Amended Petition for Name Change filed herein by ________________________, and the Court, after considering said Petition, and noting that the __________ State Registrar of Vital Records has no objection thereto, hereby finds as follows:1. Petitioner ____________________________ is an adult resident citizen of the _______ Judicial District of _________ County, Mississippi. 2. The court has subject matter jurisdiction over this action pursuant to Miss. Code Ann. 93-17-1, and has reviewed the Petition and other pleadings filed herein.3. As reflected by the Petitioners Certificate of Live Birth, attached as Exhibit __ to the Petition, she was born in _____________________________________, on __________ _____. Said certificate reflects ___________________________ as the Petitioners natural mother and __________________________ as the Petitioners natural father. 4. The Court finds that Petitioner has been estranged from her birth father, _________ ____________, for some __________ ( ) years, having had only instance of contact with him (for approximately ______ days) during the Petitioner s entire life. #41537 5. The Court further finds that ____________________________ is the Petitioners natural mothers maiden name.6. The Court recognizes that Petitioner seeks to change her birth name ____________ __________ to _________________________ to take on and adopt her natural mothers maiden name. 7. The court finds that the Defendant may be served at ___________________________ ___________________________.8. Petitioners request is well-taken and shall be granted. IT IS, THEREFORE, ORDERED, ADJUDGED AND DECREED that the Petitioners name be, and hereby is, changed to ___________________________, and the __________ State Registrar of Vital Records is hereby ordered to correct any record regarding __________ to reflect her new name, ________________________, in accordance with Miss. Code Ann.  93-17-1. SO ORDERED, ADJUDGED AND DECREED this the _____ day of __________ _____.__________________________________________CHANCELLORPrepared by: ________________________________________________________________________________Telephone No.: ____________________