Fill and Sign the West Virginia Name Change Form

IN THE CIRCUIT COURT OF       COUNTY WEST VIRGINIA IN THE MATTER OF THE PETITION OF                         Civil Action No.       Judge       FOR A CHANGE OF NAME TO                         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 the Petitioners are of full legal age and is a bona fide resident of the County of       , State of West Virginia, whose residence address is       . Petitioners have been a bona fide resident of       County, State of West Virginia for       years immediately prior to filing this Petition. 3. Petitioners’ and minors’ present names are as follows: Name:       Birth date:       Age:       Address:                   Name:       Birth date:       Age:       Address:                   Name:       Birth date:       Age:       Address:                   Name:       Birth date:       Age:       Address:                   4. That the Petitioners pray for the change of name for the following reasons: (describe in detail):                         5. That the proposed change in names will not be detrimental to the interests of any other person and is not against the public interest. 6. This Petition is not filed to defraud creditors or to obstruct criminal prosecution or for other fraudulent purposes. 7. Petitioners are (check one) not married or is married to       . 8. Petitioners (check one) own no real estate or own real estate in       County,       . 9. Petitioners (check one) have not have been convicted of a crime. The nature, punishment, and information regarding said conviction are as follows:       10. Petitioners have met the publication requirements. IT IS THEREFORE ORDERED, ADJUDGED AND DECREED, that the name of the said PETITIONERS and their minor children are hereby changed as follows: From To Petitioners:                         Minor Children:                                                 DATED this       day of       , 20       . BY THE COURT: ____________________________________ CIRCUIT COURT JUDGE Prepared and Presented by: