Petition For Change Of Name Page 3
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3IN THE CIRCUIT COURT OF ______________ COUNTY, ARKANSAS
____________ DIVISION
IN RE: ________________
ORDER FOR NAME CHANGE
On this date, the petition of ________________, is presented, the petitioner is
appearing in person, pro se, and the Court, from the petition filed herein, the testimony
given, and other proof before the Court, finds:
The petitioner has shown reasonable cause for changing the minor child’s name
________________ to ____________.
from
IT IS THEREFORE ORDERED that petitioners’ minor child’s name be changed
______________ to
from
and that petitioner’s minor child shall
___________, and IT IS FURTHER ORDERED that she/he
hereinafter be known as
shall sue and be sued, plead and be impleaded, by the name ___________.
IT IS FURTHER ORDERED that the petition filed here in and this order be
entered by the Clerk upon the record of this Court.
___________________________________
CIRCUIT JUDGE
___________________________________
Date
Prepared:
______________________________
Petitioner
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