Order Changing Name (Parent(s) And Children)
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Order Changing Name (Parent(s) And Children) Form. This is a Washington form and can be use in King Local County.
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Tags: Order Changing Name (Parent(s) And Children), Washington Local County, King
Mail to:
_________________________
Petitioner
___________________________
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
(Parent(s) and Children)
The petition of the above-named person(s) for an order changing the names as set forth below
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
the name change of the listed minor(s) is in the best interest of the child/children.
Now therefore, it is hereby ORDERED, ADJUDGED AND DECREED that
The name of _______________________________ is changed to ______________________________________.
The name of _______________________________ is changed to ______________________________________.
The name of _______________________________ is changed to ______________________________________.
The name of _______________________________ is 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
Revised 11/2009
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