Petition For Name Change Of A Minor Child {DC-6-11-1} | Pdf Fpdf Doc Docx | Nebraska

Petition For Name Change Of A Minor Child {DC-6-11-1}

Nebraska/Statewide/District Court/Name Change (Minor)/
Petition For Name Change Of A Minor Child {DC-6-11-1} | Pdf Fpdf Doc Docx | Nebraska

Petition For Name Change Of A Minor Child Form

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This is a Nebraska form that can be used for Name Change (Minor) within Statewide, District Court.

Last updated: 5/22/2017

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Nebraska State Court Form PETITION FOR NAME CHANGE OF A MINOR CHILD DC 6:11(1) Rev. 05/15 Neb. Rev. Stat. § 25-21, 271 IN THE DISTRICT COURT OF ________________ COUNTY, NEBRASKA (county where Petition filed) IN RE NAME CHANGE OF ______________________________ (minor child(ren)'s current full name(s)) CASE No.___________________ (case number assigned by Clerk of Court) ______________________________ ______________________________ ______________________________, Minor Child(ren), By Parent or Guardian ______________________________. (your full name) PETITION FOR NAME CHANGE OF A MINOR CHILD OR CHILDREN NOTICE: THE LAST PAGE OF THIS DOCUMENT IS CONFIDENTIAL AND SHALL NOT BE MADE PART OF THE COURT FILE OR PROVIDED TO THE PUBLIC PURSUANT TO NEB. CT. R. § 6-1521. I, _______________________________, on behalf of ____________________ (your full name) ______________________________________________________________________ (minor child(ren)'s current full name(s)) ______________________________________________________________________ minor child(ren), and without the assistance of an attorney, ask this Court for a name change for the minor child(ren). In support of this Petition, I state that the following items are true: 1. My address is _____________________________________________, (your present street address) _____________________, ____________________County, Nebraska. (city where you live) (county where you live) 2. The minor child(ren)'s current name(s) is/are _______________________ (minor child(ren)'s current full name(s)) _____________________________________________________________________. ______________________________________________________________________ Page 1 of 4 Petition for Name Change of a Minor Child DC 6:11(1) Rev. 05/15 American LegalNet, Inc. www.FormsWorkFlow.com 3. The minor child(ren)'s current address is __________________________, (minor child(ren)'s present street address) ____________________, ___________________ County, Nebraska. (city where minor child(ren) live(s)) (county where minor child(ren) live(s)) 4. The minor child(ren)'s date(s) of birth is/are provided on the Confidential Party Information Form (page 4 of the Petition for Name Change). 5. 6. My relationship to the minor child(ren) is __________________________. (mother/father) The minor child(ren) and I have been residents of ___________________ (county where you and minor child(ren) live) County, Nebraska for more than one year prior to the filing of this Petition. 7. I desire that the court change the name(s) of _______________________ (minor child(ren)'s current full name(s)) ______________________________________________________________________ _____________________________________________________________________, minor child(ren), to ______________________________________________________ (minor child(ren)'s preferred new full name(s)) ______________________________________________________________________ _____________________________________________________________________. 8. The other parent of the minor child(ren) is _________________________ (minor child(ren)'s other parent's full name) ___________________________________________________. 9. I desire to change the name(s) of the minor child(ren), _______________ (minor child(ren)'s current full name(s)) ______________________________________________________________________ ______________________________________________________________________ Page 2 of 4 Petition for Name Change of a Minor Child DC 6:11(1) Rev. 05/15 American LegalNet, Inc. www.FormsWorkFlow.com for the following reason(s): ________________________________________________ _________________________________________________________________________________________________________ (list here why you desire to change the minor child(ren)'s name(s)) ________________________________________________________________________________________________________ ________________________________________________________________________________________________________. I request the court set this matter for hearing, and that upon such hearing, enter an order changing the name(s) of the minor child(ren) from ______________________________________________________________________ (minor child(ren)'s current full name(s)) ______________________________________________________________________ to ____________________________________________________________________ (minor child(ren)'s preferred new full name(s)) _____________________________________________________________________. Date Petitioner's Signature (your signature) Your Full Name Your Full Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address Page 3 of 4 Petition for Name Change of a Minor Child DC 6:11(1) Rev. 05/15 American LegalNet, Inc. www.FormsWorkFlow.com Nebraska State Court Form CONFIDENTIAL PARTY INFORMATION FORM - MINOR NAME CHANGE (county where Petition filed) DC 6:11(1) Rev. 05/15 IN THE DISTRICT COURT OF ________________ COUNTY, NEBRASKA THIS DOCUMENT IS CONFIDENTIAL AND SHALL NOT BE MADE PART OF THE COURT FILE OR PROVIDED TO THE PUBLIC PURSUANT TO NEB. CT. R. § 6-1521. IN RE NAME CHANGE OF CASE No.___________________ (case number assigned by Clerk of Court) _____________________. (minor child(ren)'s current full name(s)) _____________________ _____________________ _____________________ CONFIDENTIAL PARTY INFORMATION FORM - MINOR NAME CHANGE Name Children: (child's current full name) Gender Birth Date (child's current full name) (child's current full name) (child's current full name) Page 4 of 4 Confidential Information for Petition for Name Change of a Minor Child DC 6:11(1) Rev. 05/15 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com