Fill and Sign the Petition Minors Name Change Form

IN THE DISTRICT COURT FOR       COUNTY, NEBRASKA ) IN THE MATTER OF THE PETITION OF ) )       )       ) a Minor ) FOR A CHANGE OF NAME TO ) NO.       )       )       ) ) PETITION FOR NAME CHANGE COMES MINOR PETITIONER ____________________________________ and ____________________________________ , by and through ____________________________________ , his / her Mother Father Guardian, who, upon being duly sworn, respectfully represents and shows unto the Court: A. 1. That the Minor Petitioner, ____________________________________ , is a bona fide resident of the County of __________________ , State of Nebraska, whose residence address is ____________________________________ . Minor Petitioner has been a resident of __________________ County, State of Nebraska for ____________ years immediately prior to filing this Petition. Minor Petitioner was born on the ______ day of __________________ , ______ , in the County of __________________ , State of __________________ . 2. Minor Petitioner’s present name is ____________________________________ . This is the current name of Minor Petitioner on his / her social security card and all other records. 3. That the Minor Petitioner prays for the change of name for the following reasons: (describe in detail):             4. That the proposed change in the Minor Petitioner’s name, if granted, will not be detrimental to the interests of any other person and is not against the public interest. 5. That Minor Petitioner is not confined to a department of correction facility. This Petition is not filed to defraud creditors. 6. Minor Petitioner is (check one) not married or is married to ____________________________________ . 7. Minor Petitioner (check one) owns no real estate or owned real estate in __________________ County, __________________ . B. 8. That the Minor Petitioner, ____________________________________ , is a bona fide resident of the County of __________________ , State of Nebraska, whose residence address is ____________________________________ . Minor Petitioner has been a resident of __________________ County, State of Nebraska for ____________ years immediately prior to filing this Petition. Minor Petitioner was born on the ______ day of __________________ , ______ , in the County of __________________ , State of __________________ . 9. Minor Petitioner’s present name is ____________________________________ . This is the current name of Minor Petitioner on his / her social security card and all other records. 10. That the Minor Petitioner prays for the change of name for the following reasons: (describe in detail):             11. That the proposed change in the Minor Petitioner’s name, if granted, will not be detrimental to the interests of any other person and is not against the public interest. 12. That Minor Petitioner is not confined to a department of correction facility. This Petition is not filed to defraud creditors. 13. Minor Petitioner is (check one) not married or is married to ____________________________________ . 14. Minor Petitioner (check one) owns no real estate or owned real estate in __________________ County, __________________ . Wherefore, the Minor Petitioner prays that by an Order of this Court, made and entered herein, the Minor Petitioner’s name be changed to and decreed to be as follows: From To                         Respectfully Submitted,       Signature of Parent / Guardian       Printed Name       Address       City, State, and Zip       Telephone Number Subscribed and sworn to before me on this the _______ day of ________________, 20_____. CLERK OF THE DISTRICT COURT ____________________________________ or By ________________________ Notary Public Deputy Clerk My Commission Expires ________________________