Fill and Sign the Order Name Change Document 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 _________________________ ORDER FOR NAME CHANGE THIS matter came on for hearing on a Petition to Change Name filed by Minor Petitioner and the Court after having considered said Petition finds as fact as follows: 1. That this Court has jurisdiction of the parties and subject matter and venue is proper. 2. 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 _______________ , ______ . 3. Minor Petitioner’s present name is _____________________________________ . This is the current name of Minor Petitioner on his social security card and all other records. 4. That the Minor Petitioner prays for the change of name for the following reasons: (describe in detail) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ __________________ . 5. That the proposed change in the Minor Petitioner’s name will not be detrimental to the interests of any other person and is not against the public interest. 6. That Minor Petitioner is not currently subject to supervision by the State of Tennessee Department of Correction. 7. Minor Petitioner is (check one) not married or is married to _________________________ . 8. Minor Petitioner (check one) owns no real estate or owns real estate in ____________________ County, Tennessee. IT IS THEREFORE ORDERED, ADJUDGED AND DECREED, that the name of the said MINOR PETITIONER _____________________________________ is hereby changed to _____________________________________ , and Minor Petitioner is hereby authorized to hereafter use said name as a legal name; and that such change shall be made and entered herein as record of this Court. DATED this ______ day of _________________________ , 20 ______ . BY THE COURT: _______________________________________ JUDGE Prepared and Presented by: _________________________ _________________________ _________________________ _________________________