Fill and Sign the Petition for Name Change of Form

Petition for Name Change of MinorPage 1 (your name) (your street address) (city, state, zip code) (your phone number) MONTANA      JUDICIAL DISTRICT COURT, (number of district in which your county is located) COUNTY (name of your county) )Your Case No. In the Matter of the Name Change of, ) )PETITION FOR NAME CHANGE OF , ) MINOR CHILD (your current legal name)) ) Petitioner. ) COMES NOW Petitioner, , and respectfully (your name) asks this Court for an Order changing the legal name of , (the minor’s current legal name) who is currently a minor child. 1. I would like to change the minor child’s legal name from (the minor’s current legal name) to . (the name you would like the minor to start using) 2. The minor child lives at in the city of (the minor’s street address) , in the county of , in the State of Montana, and has resided there for years and months. 3. The minor child was born in the city of , in the county of , in the state of on the day of (date) , . (month) (year) Petition for Name Change of MinorPage 2 4. Choose one of the following: I am the Mother Father of the minor child. Both of the parents of the minor child are dead, and I am [the guardian] [one of the guardians] of the minor child. (circle one) Both of the parents of the minor child are dead, and there is no guardian of the minor child. I am a near relative of the child. My relationship to the child is . (explain your relationship to the minor child) Both of the parents of the minor child are dead, and there is no guardian of the minor child. I am a friend of the minor child. 5. Choose one of the following: At least one of the parents of the minor child is still living. Neither of the parents of the minor child is still living. To the best of my knowledge, the nearest living relatives of the minor child are: a. , who lives in the city of , county of , state of . b. , who lives in the city of , county of , state of . 6. All of the parents of the minor child who are still living and/or all of the guardians of the minor child consent to this name change. I am filing written consents to the name change signed by each of the parents and/or guardians along with this Petition. 7. This name change is not in order to hide a criminal record. 8. This name change is not requested in order to avoid paying a debt. Petition for Name Change of MinorPage 3 9. This name change is not requested for any other improper purpose. 10. The reason for the requested name change is: WHEREFORE, I respectfully request that this Court hold a hearing on my petition and enter an Order changing the name of the minor child as requested above, and for such other and further relief as the Court deems just and proper. Dated this day of , 20 . (date) (month) (year) ___________________________________ (Your signature) (print your name) State of County of SIGNED AND SWORN (OR AFFIRMED) to before me on __________________, 20___ by _______________________________________. __________________________________________________ Notary Public for the State of _________________ Printed name of notary _______________________ Title or rank: ______________________________ Residing at _______________________________ My Commission Expires: ____________________