Fill and Sign the Utah Name Change Form

In the District Court of Utah       Judicial District       County Court Address       In the Matter of the Name Change of:       (minor’s name) a minor Order Changing Minor’s Name Case Number       Judge       Commissioner       (1) Petitioner and the minor appeared in Court on:       (date) . (2) The minor was born on:       (date) . (3) The minor’s birth name was First Name Middle Name (if any) Last Name THE COURT FINDS: (4) (a) All notices required by law have been given. (b) No objections to the proposed name change were made. (c) Objections to the proposed name change were made by: (d) Written consent to the proposed name change have been filed for the minor’s father, mother, custodian, guardian (e) Other findings (if any) : Order Changing Minor’s Name Approved Board of District Court Judges August 13, 2008 Page 1 of 3 THE COURT CONCLUDES: (5) (a) The requirements of Utah Code Section 42-1-1 through 42-1-3 have been met. (b) It appears to the satisfaction of the court that the allegations in the petition are true and sufficient, that the name change will be in the minor’s best interests and that the petition should be granted. THE COURT ORDERS: The minor’s current legal name of First Name Middle Name (if any) Last Name Is changed to First Name Middle Name (if any) Last Name This new name may be entered on birth certificate and used as the minor’s legal name from this date forward. Date Sign here ► Judge Order Changing Minor’s Name Approved Board of District Court Judges August 13, 2008 Page 2 of 3 Certificate of Service I certify that I served a copy of this Order Changing Minor’s Name on the following people. Person’s Name Method of Service Served at this Address Served on this Date (Other Party or Attorney) Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.) Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.) Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge or in receptacle for deliveries.) Left at home (With person of suitable age and discretion residing there.) Date Sign here ► Typed or printed name Order Changing Minor’s Name Approved Board of District Court Judges August 13, 2008 Page 3 of 3