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Fill and Sign the Tn Name Change 497326979 Form

Fill and Sign the Tn Name Change 497326979 Form

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IN THE CIRCUIT COURT OF _______________ COUNTY, TENNESSEE PROBATE DIVISION IN THE MATTER OF THE PETITION OF _________________________ CASE NO. _______________ FOR A CHANGE OF NAME TO _________________________ PETITION FOR NAME CHANGE COMES MINOR PETITIONER: _____________________________________ by this petition, and upon being duly sworn, respectfully represents and shows unto the Court: 1. That the Minor Petitioner is a minor and is a bona fide resident of the County of ____________________ , State of Tennessee, whose residence address is _____________________________________ . Minor Petitioner has been a bona fide resident of ____________________ County, State of Tennessee, 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 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 an individual subject to the supervision by the State of Tennessee Department of Corrections. 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 owns real estate in ____________________ County, Tennessee. 8. Attached hereto are copies of the birth certificate and social security card of the Minor Petitioner and copies of the birth certificates, social security cards and official photo identification of the parents of the Minor Petitioner. 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: _____________________________________ . Respectfully Submitted, _____________________________________ Parent/Legal Guardian of Minor Address: _________________________ _________________________ Phone: _________________________ _____________________________________ Parent/Legal Guardian of Minor Address: _________________________ _________________________ Phone: _________________________ STATE OF TENNESSEE COUNTY OF ______________________ On this _____ day of _____________ , 20 ____ , before me personally appeared ______________________________ , to me known to be the person described in and who executed the foregoing instrument, and acknowledged that such person executed the same as such person's free act and deed. __________________________________ Notary Public Printed Name: ______________________ Commission Expires: _________________ STATE OF TENNESSEE COUNTY OF ______________________ On this _____ day of _____________ , 20 ____ , before me personally appeared ______________________________ , to me known to be the person described in and who executed the foregoing instrument, and acknowledged that such person executed the same as such person's free act and deed. __________________________________ Notary Public Printed Name: ______________________ Commission Expires: _________________

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