Fill and Sign the Wy Name Change Form

STATE OF WYOMING ) IN THE DISTRICT COURT ) s.s.       JUDICIAL DISTRICT COUNTY OF       ) No.       In the Matter of the Change ) Of Name of ) )       ) a Minor, Petitioner. ) ) Affidavit STATE OF WYOMING ) ) SS COUNTY OF ____________ ) ______________________________ , having been first duly sworn according to law, on oath deposes and states as follows: 1. That he / she is the Parent Legal Guardian of the Minor Petitioner in the above- entitled matter in which the Minor Petitioner seeks to change his / her name from ________________________ to ________________________ . 2. That the Minor Petitioner born in __________________ , County of ____________ , State of __________________ . 3. That the Minor Petitioner is currently a resident of __________________ County, Wyoming. 4. That the Minor Petitioner has been an actual bona fide resident of __________________ County, Wyoming for two years preceding the filing of this petition. 5. That the Minor Petitioner desires this change of name for the following reason: ____________________________________________________________ . DATED this ______ day of __________________ , 20 ______ . Parent / Legal Guardian       Type or Print Name STATE OF WYOMING ) ) SS COUNTY OF ____________ ) THE FOREGOING AFFIDAVIT was subscribed and sworn to before me by ________________________ , this ______ day of __________________ , 20 ______ . Notary Public My commission expires:       Type or Print Name