Fill and Sign the Mississippi Change Name Form

IN THE CHANCERY COURT OF ___________________ COUNTY, MISSISSIPPI IN THE MATTER OF THE PETITION OF _______________________ , PETITIONER FOR CHANGE OF NAME OF _______________________ , A MINOR CAUSE NO. __________________ ORDER ON PETITION TO CHANGE NAME THIS DAY this cause came on for hearing on Petition of the Petitioner, __________________ , to change name of the minor and after having considered said Petition and finding that the Court has jurisdiction of the parties and subject matter, finds as follows: 1. That this Court has jurisdiction over the parties and subject matter. 2. That the Petitioner is the Parent Guardian of ______________________________ , a minor, whose current residence and mailing address is __________________ , __________________ , Mississippi __________________ . Petitioner has been such for more than six (6) months year next preceding the date of filing of this Petition; this Court has proper jurisdiction of the Petitioner and of the subject matter. 3. Petitioner, on behalf of the Minor, requests a change of name for the minor from: ______________________________ to: ______________________________ . 4. That the Petitioner prays for the change of name for the following reasons: (describe in detail ____________________________________________________________ . 5. The minor child was born on __________________ , to __________________ and __________________ in __________________ whose Social Security Number is __________________ . 6. Petitioner would show that the minor is not the convict of a felony and that this Petitioner has not filed to change the name of the minor for any unlawful purpose nor to commit fraud on any person. The minor has never filed bankruptcy and there are no claims, demands, liabilities or obligations of any kind whatsoever against the minor that would be adversely affected by this Petition. No Creditors of the minor would be adversely affected by granting this Petition. 7. Petitioner would show that it is appropriate and in accordance with the Mississippi Code Section 93-17-1 (1972) and is in the best interest of the minor that this Petition be granted. IT IS, THEREFORE, ORDER AND ADJUDGED that the Petition For Name Change is well taken and that minor's name is hereby changed from __________________ to __________________ for all purposes. ____________________________________ CHANCERY JUDGE PREPARED AND PRESENTED BY: __________________ __________________ __________________