Order Changing Name (Minor)
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Order Changing Name (Minor) Form. This is a Washington form and can be use in King Local County.
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Tags: Order Changing Name (Minor), Washington Local County, King
___________________________
Petitioner(s)
___________________________
Street Address
___________________________
City, State, Zip
KING COUNTY DISTRICT COURT
STATE OF WASHINGTON
West Division, Seattle CH 4612-00007
In re the Petition of:
)
)
_____________________________ )
No. __________________
ORDER CHANGING NAME (Minor)
The petition of the above-named parent(s) or legal guardian for an order changing a
minor’s name came before the court on this date, the court having reviewed the petition and any
supporting information, and it appearing to the satisfaction of the court that the statements in
support of the petition are true, and that the name change is in the best interests of the child;
Now therefore, it is hereby ORDERED, ADJUDGED AND DECREED that the name of
_________________________________ be changed to ________________________________.
Dated: _____________________, _____.
____________________________________
Judge ,
CERTIFICATION – State Of Washington, County of King
The undersigned, duly authorized clerk of the King County District Court, Washington, hereby certifies that the
document on which this stamp is imprinted is a true and correct copy of the original filed in the Court.
Signed this _____ day of ________________, _____.
____________________________________
Court Clerk
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