Fill and Sign the Ut Change Name Form

      Petitioner’s Name       Address (may be omitted for privacy)       City, State, ZIP       Telephone (may be omitted) IN THE       JUDICIAL DISTRICT COURT       COUNTY, STATE OF UTAH In Re the Petition of:       )       ) PETITION FOR NAME CHANGE       )       )       )       ) CASE NO.       ) For a Change of Name to: ) )       )       )       )       )       )       ) ) COMES PETITIONERS       and       by this petition, and upon being duly sworn, respectfully represents and shows unto the Court: A. 1. Petitioner’s present name is:       . 2. Petitioner requests a change of name to:       . 3. That the Petitioner prays for the change of name for the following reasons: (describe in detail):       . 4. That the Petitioner is of full legal age and is a bona fide resident of the County of       . 5. Petitioner’s date of birth:       . 6. Petitioner’s place of birth:       . 7. Petitioner’s father’s name is:       . 8. Petitioner’s mother’s maiden is:       . 9. Petitioner’s spouse’s name is:       and she/he is the Co-Petitioner herein. 10. Petitioner’s children’s name(s), age(s) and place(s) of residence are: Name:       Age:       Address:                   Name:       Age:       Address:                   Name:       Age:       Address:                   Name:       Age:       Address:                   Name:       Age:       Address:       -- 2             11. Petitioner’s name has not been previously changed, or Was previously changed as follows: Date:       Court:       Where:       12. There are: no unsatisfied money judgments presently pending against the Petitioner, or the following unsatisfied money judgments are pending against the Petitioner: Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       13. There are: no actions for money presently pending against the Petitioner, or the following actions for money are pending against the Petitioner: Court:       Case No.:       Plaintiff:       Defendant:       -- 3 Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       14. The proposed change in the Petitioner’s name, if granted, will not be detrimental to the interests of any other person. 15. The Petitioner is not confined to a department of corrections facility. 16. This Petition is not filed to defraud creditors. B. 1. Petitioner’s present name is:       . 2. Petitioner requests a change of name to:       . 3. That the Petitioner prays for the change of name for the following reasons: (describe in detail):       . 4. That the Petitioner is of full legal age and is a bona fide resident of the County of       . 5. Petitioner’s date of birth:       . 6. Petitioner’s place of birth:       . 7. Petitioner’s father’s name is:       . 8. Petitioner’s mother’s maiden is:       . 9. Petitioner is married to the Co-Petitioner ______________________________ 10. Petitioner’s name has not been previously changed, or Was previously changed as follows: -- 4 Date:       Court:       Where:       11. There are: no unsatisfied money judgments presently pending against the Petitioner, or the following unsatisfied money judgments are pending against the Petitioner: Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       12. There are: no actions for money presently pending against the Petitioner, or the following actions for money are pending against the Petitioner: Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       -- 5 Court:       Case No.:       Plaintiff:       Defendant:       Court:       Case No.:       Plaintiff:       Defendant:       13. The proposed change in the Petitioner’s name, if granted, will not be detrimental to the interests of any other person. 14. The Petitioner is not confined to a department of corrections facility. 15. This Petition is not filed to defraud creditors. C. Petitioners request the Court grant the following name changes to the minor children of the Petitioners: From To                                                                         Wherefore, the Petitioner prays that, by an Order of this Court, made and entered herein, the names of Co-Petitioner’s and their minor children be changed to and decreed to be: From To Petitioners:                         -- 6 Minor Children:                                                 Respectfully Submitted, ____________________________________ Signature of Petitioner ____________________________________ Signature of Petitioner Address:             Phone:       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:       -- 7