Kentucky > Statewide > Civil
Petition For Name Change 295 - Kentucky
| Petition For Name Change Form. This is a Kentucky form and can be used in Civil Statewide . |
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AOC-295 Doc.Code:PNC Rev.10-08 Page1of1 CommonwealthofKentucky CourtofJustice www.courts.ky.gov KRSChapter401 CaseNo. Court PETITION FOR NAME CHANGE County IN RE: CHANGE OF NAME FOR _____________________________________________________________________ COME(S) THE PETITIONER(S),(choose one): __________________________________________and _____________________________________________, livingparentsoftheabove-captionedminor(minorreferstochildunderage18,seeKRS401.020); or ____________________________________________________,survivingparentofabove-captionedminor;or _________________________________________________________,guardianofabove-captionedminor;or above-captionedadult,AND IN SUPPORT OF THIS PETITION STATE(S): , , . . . . 1. Theoriginalnameis 2. Thedesirednamechangeis 3. Birthdate(MM/DD/YY)ofminor/adultis 4. Birthlocation(city,county,state)ofminor/adultis: 5. Minor/AdultcurrentlyresidesinthecountyinwhichthisPetitionisfiled.His/Heraddressis: 6. Purposeofdesirednamechangeis: .IunderstandidentitytheftisaClassDFelony inKentucky.KRS514.160.I am not requesting this name change to avoid a legal obligation or evade prosecution. 7. For petition of minor with two living parents:PerKRS401.020,ifaparentrefusesorisunavailabletoexecutethis Petition,proper noticeofitsfilingshall be made on absent parentpursuanttotheRulesofCivilProcedure. Father: Address: Mother: Address: WHEREFORE,Petitioner(s)pray(s)foranOrderforChangeofName. Dated: Petitioner's Signature Attorney Name: HEARING Schedulehearingfor at Judge a.m. ,2 p.m. Subscribedandsworntobeforemeon ,2 . ,2 . ,2 . Petitioner's Signature Mycommissionexpires: Notary Note:FilethisPetitionintheCircuitClerk'sOfficeinthecountyinwhereyoureside. Distribution for Hearing Notice:Petitioner(s)ORAttorneyforPetitioner(s),ifany American LegalNet, Inc. www.FormsWorkFlow.com
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