Order Changing Name (Adult), Page 1 of 3 251 2008 Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association. Use of this form is restricted to not-for-profit purposes. Last updated 05/14/2008 Montana Judicial District Court Number of the Judicial District where you are filing County Name of the county where you are filing In the Matter of the Name Change of : Your name now , Petitioner (your name now) Cause No.: Dept. No.: Order Changing Name A Petition for Name Change was filed in this case. A hearing was held on (date:) . Based on the evidence, the Court finds: mm/dd/yyyy Findings of Fact 1 Petitioner222s name The Petitioner222s current name is (your name now) First Middle Last The Petitioner wishes to change names to (the new name you want) First Middle Last American LegalNet, Inc. www.FormsWorkFlow.com Order Changing Name (Adult), Page 2 of 3 251 2008 Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association. Use of this form is restricted to not-for-profit purposes. Last updated 05/14/2008 2 Petitioner222s place of birth Petitioner was born in City County State 3 Petitioner222s date of birth Petitioner was born on (date) . mm/dd/yyyy 4 Purpose of name change The name change is not to avoid debt, hide a criminal record, or for any other improper reason. 5 Notice of hearing Notice of this hearing was published or posted as required by law. Check one: The Petitioner published notice of the hearing in a newspaper in this county. The notice was published for four weeks in a row. or No newspaper is published in this county. The Petitioner posted notice of the hearing in three public places for four weeks in a row. Conclusions of Law 1 The Petitioner222s name change is allowed under Montana law. Montana Code Annotated 27-31-101 to 205. 2 The Petitioner has provided notice of the hearing in this case as required by law. Montana Code Annotated 27-31-201. American LegalNet, Inc. www.FormsWorkFlow.com Order Changing Name (Adult), Page 3 of 3 251 2008 Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association. Use of this form is restricted to not-for-profit purposes. Last updated 05/14/2008 Order This Court orders that: 1 Name Change The Petitioner=s name is changed from (old name:) First Middle Last to (new name:) First Middle Last 2 Changes to Birth Certificate Check one: Montana Vital Statistics (MVS) will change the Petitioner222s birth record to show this name change. MVS will line through the old name, type the new name above the old name, and stamp 223ALTERED224 on the birth record. or Montana Vital Statistics (MVS) will create a new birth record only showing the Petitioner222s new name. MVS will put the old birth record in a sealed file which can only be opened by court order. or Petitioner was not born in Montana. Date: DISTRICT COURT JUDGE American LegalNet, Inc. www.FormsWorkFlow.com