Print court information exactly as it appears on your Petition IN THE MATTER OF THE § CHANGE OF NAME OF § Case No: § § In the (check one): (Name of the child now) District County Justice Court of: § First Middle County, Texas Last A CHILD Order to Change the Name of A Child A hearing took place today, and the following people were present. I. APPEARANCES 1. The Petitioner was present, without an attorney. Petitioner’s name: First 2. Middle Middle Last Co-Petitioner’s name (the other parent): First 3. Last (check one): The Co-Petitioner was present and has signed below, agreeing to this Order. The Co-Petitioner was not present, but signed below, agreeing to this order. There is no Co-Petitioner because the child’s other parent is dead or parental rights have been terminated by court order. II. JURISDICTION The Court received evidence and finds that it has jurisdiction over this case and the parties, that the notice requirements have been met, and that the Petition meets all legal requirements. III. RECORD A Court Reporter (check one): did Order to Change the Name of a Child Jun. 2008 Texas Family Code, Chapter 45 © Travis County Law Library did not record today’s hearing. Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com IV. FINDINGS The child’s personal information is as follows: 1. Child’s current name : First 2. Middle Last Home Address: street address 3. state Social Security Number: 4. city Driver’s license number: State that issued license 5. Date of birth and gender: Male – Varón month 6. day Female – Mujer year Place of birth: City County State Country 7. The child (check one): is not a registered sex offender. is a registered sex offender, and the Petitioner notified local law enforcement of the request to change the child’s name and provided proof of that notification to the Court. 8. The request to change the name of this child is in the public interest, and is best for this child. V. ORDERS The Court orders the child’s name be changed from (current name): Current name: First middle last First middle last TO To this name: Order to Change the Name of a Child Jun. 2008 Texas Family Code, Chapter 45 © Travis County Law Library Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com VI. Other Orders The court reserves the right to make further orders to clarify the above orders, if needed. Any orders requested that do not appear above are denied. Date of Judgment Judge’s name Judge’s signature Petitioner’s signature Mailing Address: street address city state zip city state zip Phone #: Co-Petitioner’s signature Mailing Address: street address Phone #: Order to Change the Name of a Child Jun. 2008 Texas Family Code, Chapter 45 © Travis County Law Library Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com