Fill and Sign the Personal Representative of This Estate State the Following Form

IN THE CHANCERY COURT OF ___________________ COUNTY, MISSISSIPPI IN THE MATTER OF THE PETITION OF_______________________, PETITIONER FORCHANGE OF NAME CAUSE NO. __________________ ORDER ON PETITION TO CHANGE NAME THIS DAY this cause came on for hearing on Petition of the Petitioner, __________________, to change name 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 Petitioner, __________________, is an adult bona fide resident citizen of __________________ County, Mississippi, whose current residence and mailing address is __________________, __________________, Mississippi __________________. Petitioner has been such for more than six (6) months preceding the date of filing of this Petition; this Court has proper jurisdiction of the Petitioner and of the subject matter. 3. That Petitioner was born on __________________, to __________________ and __________________ in __________________, and his/her Social Security Number is __________________. 4. That Petitioner desires to change his/her name to “__________________”. Petitioner provided as grounds that: __________________. 5. That the Petitioner is not the convict of a felony and that the Petition is not filed to change the name of Petitioner for any unlawful purpose nor to commit fraud on any person. Petitioner has never filed bankruptcy and there are no claims, demands, liabilities or obligations
Nor do, or intend to file any such claims. Petitioner is of sound mind, and not liable to any disability or illness now or in the future. 6. Petitioner does not present any reason for not having a valid and legally formed name. Petitioner has no objection to change except that he/she is indigent, and because of any medical condition the petitioner desires to have a change of name. 7. Petitioner is not subject to a duty of registration to vote. This court determines the form of this petition the plaintiff shall sign to verify that this is a true and correct copy of the original petition. The judge shall read the entire petition and order the following information be submitted and a receipt be obtained from the petitioner upon its receipt by the clerk of court. 8. The petitioner or his/her attorneys shall not represent the petitioner in any criminal case but any prosecution of the petition. It shall be the duty of the clerk of court to notify the petitioner if a complaint arises against him/her in any judicial proceeding. The clerk of court shall notify the clerk of the district attorney to investigate and prosecute such a complaint, whether that person has filed a criminal complaint. 9. The clerk of court shall notify the sheriff of the county of where the application for change of name is to be filed and the county clerk with whom a complaint is to be filed to investigate the petition. 10. The form of the change of name record shall be written and the registrar shall have a correct copy prepared in the correct form. 11. The name of the person to be changed shall be altered only if that person has been convicted of a felony and the name has been falsely changed. 12. At any time when the registrar has received a certified copy of the petition to change the name from the clerk or sheriff of the county of the petitioner's residence, or in his proper office or at any other place within this state, the registrar may change the said signature to his proper signature on the list of those who have requested a change of name. Upon receiving the petition in the proper form the clerk of court shall give proper notice of the time and place of the hearing in the proper legal form at the place named in said petition and shall also issue a copy of the form as above required for the change of name. 13. Whenever the court on the record shall find that the petitioner is of sound mind, indigent and not disqualified to have a changed name. As stated in the petition, it shall issue an order to.