Fill and Sign the Order on Petition for Name Change Form

Order on Petition for Name Change Approved August 13, 2008 Revised March 9, 2017 Page 1 of 3 Name Address City, State, Zip Phone Email In the District Court of Utah __________ Judicial District ________________ County Court Address ______________________________________________ ________ In the Matter of the Name Change of: _____________________________________ Petitioner Order on Petition for Name Change _______________________________ Case Number _______________________________ Judge (1) Petitioner appeared in court on _______________________ (date). (2) Petitioner was born on: _______________________ (date). (3) The name on p etitioner’s birth certificate is: First name Middle name (if any) Surname THE COURT FINDS: (4) (a) All the notices required by law have been given. (b) [ ] No objections to the proposed name change were made (c) [ ] Objections to the proposed name change were made by: Order on Petition for Name Change Approved August 13, 2008 Revised March 9, 2017 Page 2 of 3 __________________________________________________ ______________ (d) [ ] Other findings (if any): THE COURT CONCLUDES: (5) (a) The requirements of Utah Code Section 42-1-1 through 42-1-3 have be en met and Utah Code Section 77- 41-105(9) does not prohibit this order. (b) It appears to the satisfaction of the court that the allegations in the petition are true and sufficient and that the petition should be granted. Having considered the documents filed with the court, the evidence and the argume nts, and now being fully informed, THE COURT ORDERS: (1) The Petition is [ ] granted [ ] denied (2) [ ] Petitioner’s legal name is changed to : First name Middle name (if any) Surname on birth certificate Married surname (if any) The Petitioner may use this new legal name from this date forward. Sign here ► Date Judge Order on Petition for Name Change Approved August 13, 2008 Revised March 9, 2017 Page 3 of 3 Certificate of Service I certify that I served a copy of this Order on Petition for Name Change on the following people ( only if there were other interested parties in this case). Person’s Name Method of Service Served at this Address Served on this Date (Interested Party or Attorney) [ ] Mail [ ] Hand Delivery [ ] E-filed [ ] Fax (Person agreed to service by fax.) [ ] Email (Person agreed to service by email.) [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) (Interested Party or Attorney) [ ] Mail [ ] Hand Delivery [ ] E-filed [ ] Fax (Person agreed to service by fax.) [ ] Email (Person agreed to service by email.) [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign here ► Date Typed or Printed Name