SUPERIOR COURT OF ARIZONA PINAL COUNTY In the Matter of: CASE NUMBER: CV2 ORDER CHANGING NAME FOR FAMILY Name of person(s) who request a change of name HONORABLE: THE COURT FINDS: 1. 2. 3. 4. This case has come before this Court to Change the Names of the persons listed below. This Court has jurisdiction to change the names of the persons listed below. Good cause exists to grant this application. It is in the best interest of the minor child(ren). IT IS HEREBY ORDERED: 1. The name on the birth Certificate or (First) Current Legal Name: (Middle) (Last) Date of Birth: (Month) (Day) (Year) Place of Birth: (City) (State) (Nation) IS CHANGED TO: (First) (Middle) (Last) The name on the birth Certificate or Current Legal Name: (First) (Middle) (Last) Date of Birth: (Month) (Day) (Year) Place of Birth: (City) Page 1 of 3 (State) (Nation) CV_ONCF_COSCPinal_04.09.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com IS CHANGED TO: (First) (Middle) (Last) The name on the birth Certificate or Current Legal Name: (First) (Middle) (Last) Date of Birth: (Month) (Day) (Year) Place of Birth: (City) (State) (Nation) IS CHANGED TO: (First) (Middle) (Last) The name on the birth Certificate or Current Legal Name: (First) (Middle) (Last) Date of Birth: (Month) (Day) (Year) Place of Birth: (City) (State) (Nation) IS CHANGED TO: (First) (Middle) (Last) The name on the birth Certificate or Current Legal Name: (First) (Middle) (Last) Date of Birth: (Month) (Day) (Year) Place of Birth: (City) (State) (Nation) Page 2 of 3 CV_ONCF_COSCPinal_04.09.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com IS CHANGED TO: (First) (Middle) (Last) 2. For the person born in the State of Arizona, the Office of Vital Records is ordered to amend the birth record to reflect the new name as ordered above. Note that except for correction of error, a woman's maiden name as recorded on the birth record, is unaffected by an order for Change of Name (or by marriage) For the person born in a state other than Arizona, to the extent that the agency that maintains birth records in that state is authorized to honor an order of this Court, that agency is requested or ordered to amend its birth record to reflect the new name(s) as ordered above. 3. 4. This Order DOES NOT establish paternity or add the name of a father to a birth certificate. This Order DOES NOT release the persons named above from any obligations incurred or harm any rights of property or action in any original name. Other Orders: 5. *MAY NOT be used to establish paternity or to add the name of a father to a birth certificate. DONE IN OPEN COURT this day of 20 Superior Court Judge/Special Commissioner Page 2 of 3 CV_ONCF_COSCPinal_04.09.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com