KITSAP COUNTY DISTRICT COURT, STATE OF WASHINGTON In the Matter of the Change of Name of: NO. __________________________________________, Petitioner. ORDER CHANGING NAME (ADULT) THIS MATTER coming on regularly for hearing before the undersigned Judge upon the petitioner’s request for an order changing the petitioner’s name from: __________________________________________ to __________________________________________; it appearing to the court that the petitioner is a resident of Kitsap County, Washington; and the court finding that the statements made in the petition are true, that the change of name is not for any illegal or fraudulent purpose; now, therefore, it is hereby ORDERED, ADJUDGED AND DECREED that the petition is approved and the petitioner’s name is changed to: ______________________________________________________ for all intents and purposes. DATED . Presented by: _____________________________________ PETITIONER __________________________________________ JUDGE Revised 7/12/10 American LegalNet, Inc. www.FormsWorkFlow.com