Order Allowing Change Of Name (Minor) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Order Allowing Change Of Name (Minor) Form. This is a Tennessee form and can be use in Shelby Local County.
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Tags: Order Allowing Change Of Name (Minor), Tennessee Local County, Shelby
IN THE CHANCERY COURT OF TENNESSEE
FOR THE THIRTIETH JUDICIAL DISTRICT AT MEMPHIS
IN THE MATTER OF:
________________________________________
Natural Mother or Father and next friend of
NO:__________________________
_______________________________________
A minor Petitioner
ORDER ALLOWING NAME CHANGE OF MINOR
This
cause
came
to
be
heard
on
this
date
upon
the
sworn
petition
of
_________________________________________________, Mother or Father and Next Friend of
_________________________________ a minor, upon their respective testimony in open court,
and upon the entire record in this cause.
It appearing to the Court from all of the above that said minor was born in _____________
____________________________ on ____________________, ________ and is presently a
resident of Shelby County, Tennessee and that petitioner for good and sufficient cause desires to
change his/her name to ___________________________________________________ and that the
change should be officially noted on the petitioner’s birth certificate.
IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that the name of
_________________________________ be and hereby changed to _________________________
_________________________________ and that such name change be officially shown and
designated hereafter for all legal purposes as such and that a copy of this Order be furnished to
appropriate State and County agencies to effectuate the purpose of this Order for Name Change.
______________________________
PETITIONER (S)
______________________________
CHANCELLOR
______________________________
______________________________
DATE
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