Form 21.3 - Judgment Entry - Change Of Name Of Minor
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1PROBATE COURT OF _______________ COUNTY, OHIO
IN RE: CHANGE OF NAME OF_________________________________________________
(Present Name)
TO ________________________________________________________________________
(Name Requested)
CASE NO. ___________
JUDGMENT ENTRY - CHANGE OF NAME OF MINOR
On _____________________________________an application for change of name was heard by this Court. The Court
finds that proper notice of the application and hearing date was given by one publication in a newspaper of general
circulation in this county at least thirty days prior to the hearing on the application and proper notice was given to the legal
parents, known parent, or alleged parent, as required by law. The Court further finds that reasonable and proper cause
exists for changing the name and the name change is in the best interest of the minor.
The Court finds the minor's complete name at birth was _______________________________________________, the
,
minor's date of birth was _____________________________________________________
and the place of birth was
_______________________________________________________________________________________________
City
County
State
it is ORDERED the name of _______________________________________________________________
Therefore,
be changed
to ________________________________________________________________________________________
__________________________________
Probate Judge
CERTIFICATION OF JUDGMENT ENTRY
-
of
The above Judgment Entry
Change of Name of Minor is a true copy
the original kept by me as custodian
of the records of this Court.
Probate Judge/Clerk
By ________________________________
Deputy Clerk
_________________________________
Date
Print Form
FORM 21.3 - JUDGMENT ENTRY - CHANGE OF NAME OF MINOR
Amended: March 15, 2016
Discard all previous versions of this form
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