Fill and Sign the That This Court Has Jurisdiction of the Parties and Subject Matter and Venue is Proper Form

Order for Name Change- 1 - IN THE __________________ COURT OF ____________ COUNTY, WEST VIRGINIA IN THE MATTER OF: Civil Action No. ______________ Adults Minor(s) Under the Age of 18 Years ORDER FOR NAME CHANGE THIS matter came on for hearing on a Petition to Change Name filed by Petitioner and the court after having considered said Petition finds as fact as follows: 1. That this Court has jurisdiction of the parties and subject matter and venue is proper. 2. That each Petitioner is a bona fide resident of this county and state and has been such for at least one year prior to the filing of this Petition. 3. That Petitioner is the father mother guardian of the minor(s) listed above. 4. That Petitioner is the father mother guardian of the minor(s) listed above. 5. That the Petitioners request the following change of name: FROM TO Order for Name Change- 2 - 6. That the reason the Petitioners requests a change of name is: 7. That the Court finds that the requested name change is not made for any fraudulent or evil purpose. Accordingly it is HEREBY ORDERED: (1) That the names of the Petitioners be changed: FROM TO (2) That the Petitioners forthwith file a certified copy of this Order in the office of the clerk of the county commission of the county where petitioner resides, and such clerk shall record the same as provided by law. ENTER THIS ____________, DAY OF __________________, ______. _________________________________JUDGE