IN THE CIRCUIT COURT IN THE EIGHTEENTH JUDICIAL CIRCUIT FOR BREVARD COUNTY, FLORIDA. CASE NO.: IN RE: THE NAME CHANGE OF Bar Code Label / Petitioner/Father / Petitioner/Mother FINAL JUDGMENT OF CHANGE OF NAME (MINOR CHILD[REN]) THIS CAUSE came BEFORE THE Court on {date}______________________, 20____, for a hearing on Petition for Change of Name under section 68.07, Florida Statutes, and it appearing to the Court that: 1. 2. Petitioner(s) is (are) bona fide resident(s) of Florida. Petitioners are the parents of the minor child(ren) named in the petition; County, Petitioner is the parent of the minor child(ren) named in the petition, and the other parent has been property notified and has either consented or failed to respond; Other: 3. 4. Petitioner's request is not for any ulterior or illegal purpose; and Granting this petition will not in any manner invade the property rights of others, whether partnership, patent, good will, privacy, trademark, or otherwise; it is Law 1102 ­ New 11/2006 American LegalNet, Inc. www.FormsWorkflow.com Page 2 Final Judgment of Change of Name (Minor Child[ren]) Case No.: ORDERED that the minor child(ren)'s present name(s) be changed to: (1) (2) (3) (4) (5) (6) by which minor child(ren) shall hereafter be known. date of birth ORDERED on this __________ day of __________________________, 20______. ___________________________________ CIRCUIT JUDGE COPIES TO: Petitioner _______________________________________ Law 1102 ­ New 11/2006 American LegalNet, Inc. www.FormsWorkflow.com