Kansas > Local District Court > 10th Judicial District (Johnson County) > Name Change > Adult
Order Changing Name - Kansas
| Order Changing Name Form. This is a Kansas form and can be used in Adult Name Change 10th Judicial District (Johnson County) Local District Court . |
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IN THE DISTRICT COURT OF IN THE MATTER OF THE PETITION OF JUDICIAL DISTRICT COUNTY, KANSAS Case No. _____________ Present Name Div. No. ______________ To Change His/Her Name to: New Name PURSUANT TO K.S.A. CHAPTER 60 ORDER CHANGING NAME Pursuant to K.S.A. 60-1402 NOW, on this _____ day of _______________, 20_____, the above-captioned matter comes before the Court upon the Petition of ________________________________, for change of his/her name. Petitioner appears in person. There are no other appearances. The Court, after review of the record of the proceedings herein, approves service or waives any requirement for notice and determines the matter may proceed to hearing. The Court, upon hearing the testimony, upon examining the evidence presented, and upon review of the record of the proceedings herein, finds as follows: 1. The Court has jurisdiction over the parties and the subject matter in this case. 2. Venue is appropriate in _______________________ County, Kansas. 3. Service has been properly obtained on, or notice has been given to, all interested parties, or service and notice have been waived because there are no interested parties other than petitioner. 4. The allegations contained in Petitioner's Petition are true. KSJC 12/2010 Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 5. Petitioner, __________________________________, is now and has been a resident of Kansas, for a period of more than sixty (60) days immediately preceding the filing of the Petition. 6. Petitioner's YEAR of birth is and petitioner's place of birth is ___________ _______________________ County in the State of___________________________. 7. Petitioner's birth certificate shows his/her name as ____________________________ _____________________________________________________________________________. 8. Petitioner's present name is: _____________________________________________. 9. Petitioner seeks to change his/her name to __________________________________ because _______________________________________________________________________ _____________________________________________________________________________. 10. The Petition for Change of Name is not made for the purpose of avoiding any debts, obligations or legal process nor is it made for the purpose of misleading or defrauding any person. The requested name change will not result in prejudice to any person. 11. No objections have been made to the Court and the Court finds Petitioner is entitled to have his/her name changed from ______________________________________________ to: _______________________________________________________. IT IS THEREFORE BY THE COURT CONSIDERED, ORDERED, ADJUDGED, AND DECREED that the above and foregoing findings are made as orders of this Court, that KSJC 12/2010 Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner's name be changed to _______________________________________________, and that the costs of this proceeding are assessed against Petitioner. IT IS FURTHER ORDERED that, upon proper application, an amended or substitute birth certificate be issued to reflect Petitioner's new name. IT IS SO ORDERED this _____ day of ________________, 20____. ____________________________________ Judge of the District Court SUBMITTED BY: ________________________________________ Petitioner, Pro Se Name (Print):_____________________________ Address 1: _______________________________ Address 2: _______________________________ City, State, Zip: ___________________________ Telephone Number: ________________________ KSJC 12/2010 Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com
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