Fill and Sign the In the Matter of a Change of Name for Form

1 STATE OF WISCONSIN CIRCUIT COURT COUNTY In the matter of a change of name for:PETITION FOR CHANGE OF NAME Case No. Petitioners_____________________________________________________________________________To the Circuit Court of County:A. The petition of respectfully represents and shows tothe Court the following: 1. That I am an adult resident of the city of , County, State of Wisconsin and reside at . 2. That the petitioner was born on , in the city of , County, State of ;and that the legal name placed upon my birth certificate at the time of birth was . 3. That the petitioner is not engaged in the practice of any profession for which a license has been issued by this State or any other State.4.That the petitioner is the mother father of the minor children: a.______________________________b.______________________________c.______________________________d.______________________________ 5.That the petitioner, for personal reasons, desires that the Court enter an order changing his/her name from to . 6. That the petitioner requests the minor children listed above have their name(s) changed as provided below. 2B.The petition of respectfully represents and shows tothe Court the following: 1. That I am an adult resident of the city of , County, State of Wisconsin and reside at . 2. That the petitioner was born on , in the city of , County, State of ;and that the legal name placed upon my birth certificate at the time of birth was . 3. That the petitioner is not engaged in the practice of any profession for which a license has been issued by this State or any other State.4.That the petitioner is the mother father of the minor children:a.______________________________b.______________________________c.______________________________d.______________________________ 5.That the petitioner, for personal reasons, desires that the Court enter an order changing his/her name from to . 6. That the petitioner requests the minor children listed above have their name(s) changed as provided below. C.That the minor petitioners would respectfully show: 1. That they are residents of the city of , County, State of Wisconsin and reside at . 2. That the following information related to the circumstances of their birth: Minor Petitioner Date of Birth Name on birth certificate at birth 3 3. That the Minor Petitioners are not engaged in the practice of any profession for which a license has been issued by this State or any other State. 4.That the Minor Petitioners, for personal reasons, desire that the Court enter an order changing his/her name: From To WHEREFORE, your petitioners pray that the adult petitioner(s) be permitted to change his / her name: From To and, the minor petitioners be permitted to change his or her name: From To __________________ ___________________________________DatedPetitioner_____________________________________________________DatedPetitioner 4STATE OF WISCONSIN))SS COUNTY) being first duly sworn, deposes and saysthat I am one of the petitioners named in the foregoing petition; that I have read and signed the same andthat the petition is true to the best of my own knowledge, except as to matters stated therein oninformation and belief, and as to those matters I believe it to be true. ___________________________________Petitioner Subscribed and sworn to beforeme this ________ day of ___________ , __________ .________________________________ ,Notary Public___________________ County, WI.My commission expires _________. 5STATE OF WISCONSIN))SS COUNTY) being first duly sworn, deposes and saysthat I am one of the petitioners named in the foregoing petition; that I have read and signed the same andthat the petition is true to the best of my own knowledge, except as to matters stated therein oninformation and belief, and as to those matters I believe it to be true.___________________________________PetitionerSubscribed and sworn to beforeme this ________ day of ___________,__________.________________________________,Notary Public___________________ County, WI.My commission expires _________.