IN THE WARREN COUNTY, OHIO COMMON PLEAS COURT PROBATE DIVISION IN RE: CHANGE OF NAME OF (Present Name) T O (Name Requested) C ASE NO. JUDGMENT ENTRY - CHANGE OF NAME OF MINOR On an application for change of name was heard by this Court. The C ourt finds that proper notice of the application and hearing date was given by one publication in a newspaper of general circulation in this county at least thirty days prior to the hearing on the application and proper notice was given to the legal parents, known parent, or alleged parent, as required by law. The Court fur ther finds that reasonable and proper cause exists for changing the name and the name change is in the best interest of the minor. , the , and the place of birth wa s City County State Therefore, it is ORDERED the name of b e changed to Probate Judge CERTIFICATION OF JUDGMENT ENTRY The above Judgment Entry Change of Name of Minor is a true copy of the original kept by me as custodian of the records of this Court. P robate Judge/Clerk By Deputy Clerk Date FORM 21. 3 - JUDGMENT ENTRY - CHANGE OF NAME OF MINOR Amended: M arch 15, 2016 American LegalNet, Inc. www.FormsWorkFlow.com