Fill and Sign the Petition to Change Name Mississippi Form

IN THE CHANCERY COURT OF ___________________ COUNTY, MISSISSIPPI IN THE MATTER OF THE PETITION OF                         FOR CHANGE OF NAME CAUSE NO. __________________ PETITION TO CHANGE NAME COMES NOW the Petitioner, __________________ and __________________ , who would respectfully petition the Court the following, to-wit: 1. This Honorable Court has jurisdiction over the parties and subject matter. 2. Petitioner(s) is/are an adult bona fide resident citizen of _______________________ , County, Mississippi and is/are the Parent(s) Guardian(s) of ______________________________ and ______________________________ , minors, whose current residence and mailing address is __________________ , __________________ , Mississippi __________________ . Petitioner has been such for more than six (6) months year next preceding the date of filing of this Petition; this Court has proper jurisdiction of the Petitioner and of the subject matter. 3. Petitioner(s) request(s) a change of name for the following individuals: From To Petitioners:                         Minor Children:                                                 4. That the Petitioner prays for the change of name for the following reasons: (describe in detail ____________________________________________________________ . 5. The Petitioner(s) and minor child(ren) were born on the following dates: Name:       Age:       DOB:       Name:       Age:       DOB:       Name:       Age:       DOB:       Name:       Age:       DOB:       Name:       Age:       DOB:       6. Petitioner would show that the minor is not the convict of a felony and that this Petitioner has not filed to change the name of the minor for any unlawful purpose nor to commit fraud on any person. The minor has never filed bankruptcy and there are no claims, demands, liabilities or obligations of any kind whatsoever against the minor that would be adversely affected by this Petition. No Creditors of the minor would be adversely affected by granting this Petition. 7. Petitioner would show that it is appropriate and in accordance with the Mississippi Code Section 93-17-1 (1972) and is in the best interest of the minor that this Petition be granted. WHEREFORE, PREMISES CONSIDERED, Petitioner respectfully prays that this his Petition to Change Name be received and filed and that upon a final hearing of this cause the Court will enter its Order changing the name(s) of Petitioner(s) and minor child(ren) as follows: From To Petitioners:                         Minor Children:                                                 Respectfully submitted, _________________________ Signature Name: __________________ _________________________ Signature Name: __________________ STATE OF MISSISSIPPI COUNTY OF __________________ PERSONALLY APPEARED before me, the undersigned authority in and for the jurisdiction aforesaid, the within named Petitioner, __________________ , who having been by me first duly sworn, stated upon his/her oath that the matters and facts contained in the above and foregoing Petition to Change Name are true and correct as therein stated. ____________________________________ Signature of Petitioner GIVEN UNDER MY HAND AND OFFICIAL SEAL, this the __________________ day of __________________ , 20 ___ . __________________________ NOTARY PUBLIC MY COMMISSION EXPIRES: _________________________ STATE OF MISSISSIPPI COUNTY OF __________________ PERSONALLY APPEARED before me, the undersigned authority in and for the jurisdiction aforesaid, the within named Petitioner, __________________ , who having been by me first duly sworn, stated upon his/her oath that the matters and facts contained in the above and foregoing Petition to Change Name are true and correct as therein stated. ____________________________________ Signature of Petitioner GIVEN UNDER MY HAND AND OFFICIAL SEAL, this the __________________ day of __________________ , 20 ___ . __________________________ NOTARY PUBLIC MY COMMISSION EXPIRES: _________________________