Fill and Sign the Nebraska Change Form

IN THE DISTRICT COURT OF       (coun t y w h ere Petition filed) COUN T Y, NEBRASKA IN RE NAME CHANGE OF, ) CASE NO.       ) (case number assigned b y C l erk of Cou rt) )       . ) DECREE OF NAME CHANGE ( y o u r full name) ) This matter came on for hearing on this       day of       , 20       , (d a y ) (mont h ) ( y e a r) upon Petition for Change of Name by t he petitioner       . (your current f ull name) The petitioner appeared pro se. The petitioner adduced evidence, and the Court, being fully advised in the premises finds as follows: I. This Court has full and complete jurisdict i on of the party hereto and the subject matter hereof. II. At the time of filing the Petition he r ein, the petitioner was a resident of       County and has b e en a bona fide resident of (co u n t y whe r e Petition filed)       County for more than one year prior to the filing of the petition. (coun t y whe r e Petition filed) III. Petitioner wishes to change his / her name of (circle one)       , to (your curr e nt full n ame)       . (your n e w full name) Decree of N ame Change, D C 6:9 ( 3) I V. There exists proper and reasonable c ause for changing the name of the petitioner. V. Petition for Name Change was published in the       , (name of legal newspaper) pursuant to Neb. Rev. Stat. § 25-21, 271 (2)(a). IT IS THEREFORE ORD E RED, AD J UGED AND D E CRE E D THAT: The petitioner’s name of       name is changed ( y o ur curr e nt full name) to the name of       . ( y our n e w full name) BY THE CO URT: District Court Judge 2