Fill and Sign the Petition for Name Change Montana Form

Name:       Address:             Phone:       Petitioner, Pro Se       IN THE DISTRICT COURT OF THE __________________ JUDICIAL DISTRICT OF MONTANA FOR THE COUNTY OF __________________       ) )       ) Petitioner(s) ) Cause No.       ) Name Change(s): ) ) From:       ) To:       ) ) From:       ) To:       ) ) PETITION FOR NAME CHANGE From:       , a minor ) To:       ) ) From:       , a minor ) To:       ) ) From:       , a minor ) To:       ) ) From:       , a minor ) To:       ) ) From:       , a minor ) To:       ) COMES NOW the petitioner(s),       , and respectfully states that: A. 1. The petitioner       resides at       in the city of       in the county of       in the state of Montana, and has so resided for a period of       years and       months prior to the making of this application. 2. Your petitioner desires to assume another name than now held by him/her and that the name which he/she proposes to assume is       . - 1 - 3. The grounds for this application for such change of name are as follows:       4. Your petitioner is married and does have children. 5. Your petitioner is a citizen of the United States of America. 6. Your petitioner was born at       (city, county, state) on the       day of       ,       , and is now       years of age. The name of petitioner’s father is       and the name of petitioner’s mother is       . 7. Your petitioner, under the name by which he/she is now known or under any other name he/she has ever used, has never been convicted of a crime and has never been adjudicated a bankrupt. 8. There are no judgments or liens of record and no actions pending against your petitioner in any court of this state of the United States, or of any governmental subdivision thereof, or elsewhere, whether the court be or record or not. There are no bankruptcy or insolvency proceedings, voluntary or involuntary, pending against your petitioner in any court whatsoever or before any officer, person, body or board having jurisdiction thereof and your petitioner has not at any time made any assignments for the benefit of creditors. 9. There are no claims, demands, liabilities or obligations of any kind whatsoever on a written instrument or otherwise against your petitioner under the only name by which he/she has been known, which is the name sought herein to be abandoned, and your petitioner has no creditors who may be adversely affected or prejudiced in any way by the proposed change of name. 10. Annexed to this petition and made part hereof is a birth certificate of your petitioner. 11. No prior application for this or other similar relief has been made. B. 1. The petitioner       resides at       in the city of       in the county of       in the state of Montana, and has so resided for a period of       years and       months prior to the making of this application. 2. Your petitioner desires to assume another name than now held by him/her and that the name which he/she proposes to assume is       . 3. The grounds for this application for such change of name are as follows:       4. Your petitioner is married and does have children. 5. Your petitioner is a citizen of the United States of America. 6. Your petitioner was born at       (city, county, state) on the       day of       ,       , and is now       years of age. The name of petitioner’s father is       and the name of petitioner’s mother is       . 7. Your petitioner, under the name by which he/she is now known or under any other name he/she has ever used, has never been convicted of a crime and has never been adjudicated a bankrupt. - 2 - 8. There are no judgments or liens of record and no actions pending against your petitioner in any court of this state of the United States, or of any governmental subdivision thereof, or elsewhere, whether the court be or record or not. There are no bankruptcy or insolvency proceedings, voluntary or involuntary, pending against your petitioner in any court whatsoever or before any officer, person, body or board having jurisdiction thereof and your petitioner has not at any time made any assignments for the benefit of creditors. 9. There are no claims, demands, liabilities or obligations of any kind whatsoever on a written instrument or otherwise against your petitioner under the only name by which he/she has been known, which is the name sought herein to be abandoned, and your petitioner has no creditors who may be adversely affected or prejudiced in any way by the proposed change of name. 10. Annexed to this petition and made part hereof is a birth certificate of your petitioner. 11. No prior application for this or other similar relief has been made. C. 1. The petitioner       is the mother father and       is the mother father of the following minor children: Name Address DOB Age                                                                                                                              2. Petitioner prays for an Order changing the names of the minors as follows: From To                                                             - 3 - WHEREFORE, your petitioner(s) pray(s) that an order of this court may be entered granting leave to make the following name changes From To                                                                                     DATED __________________ , 20 ______ . BY____________________________________ Petitioner BY____________________________________ Petitioner SUBSCRIBED AND SWORN to before me this       day of       , 20       (SEAL) Notary Public for the State of Montana Residing at __________________ , Montana My commission expires ____________ . - 4 -