Petition For Change Of Name Page 2
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3IN THE CIRCUIT COURT OF _________________ COUNTY, ARKANSAS
________________ DIVISION
IN RE: CURRENT NAME
PETITION FOR CHANGE OF NAME
The petitioner, _________________, as friend in interest of ________________, hereby
state:
1. Petitioners are over the age of eighteen (18) years and are residents of ______County,
Arkansas.
2. Petitioner is the legal and biological parent of ________________, his/her minor child.
3. Petitioner wishes to change the name of ________________ to __________ because
________________________________________________________________
_________________________________________________________________
_________________________________________________________________.
4.
Both parents consent to this name change and ask for the name change of their
Minor child, ________________ to ___________. (See attached affidavit).
Therefore, ________________ would like to be known henceforth as___________.
WHEREFORE, petitioner requests that an order be entered changing his/her name from
________________ to___________.
Respectfully submitted,
________________________________
Petitioner
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