IN THE DISTRICT COURT OF COUNTY, NEBRASKA (county were Petition filed) Notice is hereby given that on the day of , 20, a (date) (month) (year) petition was filed in the District Court of County, Nebraska, (county where Petition filed) the object and prayer of which is to change a minor child222s or children222s name(s) from (minor child(ren)222s current full name(s)) to (minor child(ren)222s preferred new full name(s)) . A hearing will be had on said petition before the Honorable , in ourtroom o. , (name of judge hearing your case) (courtroom number) (courthouse address where , on the day of , 20, hearing will be held) (date) (month) (year) at m., or as soon thereafter as will be convenient for the (time of hearing) Case Number (case number assigned by lerk of ourt) IN RE NAME CHANGE OF (minor child(ren)current full name(s)) ourt and that unless sufficient cause is shown to the contrary, the minor child(ren)222s name(s) will be changed from that of (minor child(ren)222s current full name(s))to (minor child(ren)222s preferred new full name(s)) . Date Signature Name Bar Number and Firm Name (attorneys only) Street Address/P.O. Box City/State/ZIP Code E-mail AddressPhone American LegalNet, Inc. www.FormsWorkFlow.com