Nevada > County > Washoe > District Court > Family
Petition For Name Change Of Minor - Both Parents Petitioning 3490 - Nevada
| Petition For Name Change Of Minor - Both Parents Petitioning Form. This is a Nevada form and can be used in Family District Court Washoe County . |
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1 Code: $3490 Name: 2 Address: 3 Telephone: Acting In Proper Person 4 Name: 5 Address: 6 Telephone: Acting In Proper Person 7 8 IN THE FAMILY DIVISION 9 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 10 IN AND FOR THE COUNTY OF WASHOE 11 In the Matter of The Petiton of: 12 the natural mother and Case No.13 Dept. No.14 the natural father, 15 of, 16 a minor child, 17 For change of Name. 18 _______________________________/ 19 PETITION FOR NAME CHANGE OF MINOR: BOTH PARENTS PETITIONING 20 , the natural mother of the minor (Mothers name) 21 child, , and ,22 (Childs present name) (Fathers name)23 the natural father of the minor child, ,acting in proper person (Childs present name) 24 and on their own behalf and on behalf of their natural , ,25 (son or daughter) (Childs first name)26 born in , (Date of birth) (Place of birth) 27 and petition this Court to legally change the name of their minor from 28 (son or daughter) Ct. App. 7/99 1 <<<<<<<<<********>>>>>>>>>>>>> 2 1 2 to . (Childs present name) (Childs new name) 3 The Petitioners reside at 4 (Address) and have lived in Nevada for . The Petitioners pla n to remain in 5 (Length of time in Nevada) 6 Nevada and to continue to make Nevada their home. 7 Petitioners wish to have the name of their child legally changed because: 8 9 10 11 12 13 14 15 16 Mother been convicted of a felony. If Mother has been convicted of a (Has or has not) 17 felony, please state the date of conviction, the County and State of conviction, the offenses and the18 final sentence: 19 20 21 22 Father been convicted of a felony. If Father has been convicted of a23 (Has or has not) 24 felony, please state the date of conviction, the County and State of conviction, the offenses and the25 final sentence: 26 27 28 Ct. App. 7/99 2 <<<<<<<<<********>>>>>>>>>>>>> 3 1 Petitioners are not seeking a name change for their child for any illegal purpose. 2 Date: 3 4 ____________________________ (Signature of Mother) 5 6 (Address) 7 8 (Telephone Number) SUBSCRIBED and SWORN to before me 9 this ______day of ________________, ____________. 10 11 ___________________________________ NOTARY PUBLIC 12 13 Date: _________________________________ 14 ____________________________15 (Signature of Father)16 (Address)17 18 (Telephone Number)19 SUBSCRIBED and SWORN to before me 20 this ______day of ________________, ____________ 21 ___________________________________ 22 NOTARY PUBLIC 23 24 25 26 27 28 Ct. App. 7/99 3 <<<<<<<<<********>>>>>>>>>>>>> 4 1 VERIFICATION 2 STATE OF NEVADA ) )ss COUNTY OF WASHOE ) 3 4 , being first duly sworn, under the penalties of (Mothers name) 5 perjury, states as follows: 6 I am one of the Petitioners herein; that I am the natural mother of the minor child, 7 . I have read the foregoing Petition to Change 8 (Childs present name) 9 Name and know the contents thereof; that the samis true to the best of me y own knowledge, except as10 to those matters therein stated upon information and belief, and as to those matters, I believe the same11 to be true. 12 ___________________________________13 (Mothers signature) 14 SUBSCRIBED AND SWORN to before me 15 this day of ______________, ____________ 16 17 ___________________________________ NOTARY PUBLIC 18 19 20 21 22 23 24 25 26 27 28 Ct. App. 7/99 4 <<<<<<<<<********>>>>>>>>>>>>> 5 1 VERIFICATION 2 STATE OF NEVADA ) )ss COUNTY OF WASHOE ) 3 4 , being first duly sworn, under the penalties of (Fathers name) 5 perjury, states as follows: 6 I am one of the Petitioners herein; that I am the natural father of the minor child, 7 . I have read the foregoing Petition to Change 8 (Childs present name) 9 Name and know the contents thereof; that the same is true to the best of my own knowledge, except 10 as to those matters therein stated upon information and belief, and as to those matters, I believe the 11 same to be true. 12 _____________________________________13 (Fathers signature)14 SUBSCRIBED AND SWORN to before me 15 this day of ______________, ___________ 16 17 ____________________________________ NOTARY PUBLIC 18 19 20 21 22 23 24 25 26 27 28 Ct. App. 7/99 5
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