Fill and Sign the Minor Name Change Form

PRINT in INK Enter the name of the county in which this case was filed. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Enter the current legal name of the person whose name is proposed to be changed. In the matter of the name change of:       ___________ ____ First Name Middle Name Last Name By (Petitioner)       _________________ First Name Middle Name(s) Last Name By (Co-Petitioner)       _________________ First Name Middle Name(s) Last NameEnter Petitioner’s and Co-Petitioner’s (if any) name(s) if the name change is for a minor under 14 years of age. Enter the case number on the far right. Amended Notice and Order for Name Change Hearing Case No.       NOTICE IS GIVEN: A petition was filed asking to change the name of t he person listed above: From:       First Name Middle Name(s) Last Name To:       First Name Middle Name(s) Last Name Birth Certificate:       First Name Middle Name(s) Last Name IT IS ORDERED: This petition will be heard in the Circuit Court of       County, State of Wisconsin: Judge’s Name       If you require reasonable accommodations due to a disability to participate in the court process, please call       at least ten (10) working days prior to the scheduled court date. Please note that the court does not provide transportation.Place                   Date       Time       IT IS FURTHER ORDERED: Notice of this hearing shall be given by publication as a Class 3 notice for three (3) weeks in a row prior to the date of the hearing in the       a newspaper published in       County, State of Wisconsin. Notice to Printers : Do not print the instructional text in the boxes along the left-hand column when publishing this notice. Print bolded text in bold typeface. CV-460, 02/10 Notice and Order for Name Change Hearing §786.36, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional materials. Page 1 of 1 BY THE COURT : Circuit Court Judge       Print or Type Name       DateEnter the current legal name. Enter the proposed new name. Enter the name as it currently appears on the birth certificate Note: Enter the name of the newspaper and the county. You must publish this notice in the newspaper as ordered here. The court will enter the judge’s name, county, place, date and time for the name change hearing. For Court Use Only.