Fill and Sign the Name Change Adult Levy County Clerk of Court Form

IN THE CIRCUIT COURT OF _______________ COUNTY, TENNESSEE PROBATE DIVISION IN THE MATTER OF THE PETITION OF_________________________ CASE NO. _______________ FOR A CHANGE OF NAME TO_________________________ PETITION FOR NAME CHANGE COMES MINOR PETITIONER: _____________________________________ by this petition, and upon being duly sworn, respectfully represents and shows unto the Court:1. That the Minor Petitioner is a minor and is a bona fide resident of the County of _________________ ___, State of Tennessee, whose residence address is _____________________________________. Minor Petitioner has been a bona fide resident of _______ _____________ County, State of Tennessee, for _ _____ years immediately prior to filing this Petition. Minor Petitioner was born on the _ _____ day of _______________, __ ____, in the County of ____________________, State of __ _______________ ___.2. Minor Petitioner’s present name is _____________________________________. This is the current name of Minor Petitioner on his social security card and all other records.3.That the Minor Petitioner prays for the change of name for the following reasons: (describe in detail) ________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________.4.That the proposed change in the Minor Petitioner’s name, if granted, will not be detrimental to the interests of any other person and is not against the public interest.5.That Minor Petitioner is not an individual subject to the supervision by the State of Tennessee Department of Corrections. This Petition is not filed to defraud creditors. 6.Minor Petitioner is (check one) not married or is married to _________________________.7.Minor Petitioner (check one) owns no real estate or owns real estate in _________________ ___ County, Tennessee.8. Attached hereto are copies of the birth certificate and social security card of the Minor Petitioner and copies of the birth certificates, social security cards and official photo identification of the parents of the Minor Petitioner.Wherefore, the Minor Petitioner prays that by an Order of this Court, made and entered herein, the Minor Petitioner’s name be changed to and decreed to be: _____________________________________.Respectfully Submitted,_____________________________________Parent/Legal Guardian of MinorAddress:_________________________ _________________________ Phone:______________________________________________________________Parent/Legal Guardian of MinorAddress:_________________________ _________________________ Phone:_________________________ STATE OF TENNESSEE COUNTY OF ______________________ On this _____ day of _____________, 20 ____, before me personally appeared ______________________________, to me known to be the person described in and who executed the foregoing instrument, and acknowledged that such person executed the same as such person's free act and deed.__________________________________Notary PublicPrinted Name: ______________________ Commission Expires: _________________STATE OF TENNESSEE COUNTY OF ______________________ On this _____ day of _____________, 20 ____, before me personally appeared ______________________________, to me known to be the person described in and who executed the foregoing instrument, and acknowledged that such person executed the same as such person's free act and deed. __________________________________Notary PublicPrinted Name: ______________________ Commission Expires: _________________