CV-461, 02/15 Notice and Order for Confidential Name Change Hearing 247247786.36 and 786.37, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional materials. Page 1 of 1 Enter the name of the county in which this case was filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Enter the current legal name of the person whose name is proposed to be changed. IN THE MATTER OF THE NAME CHANGE OF First Name Middle Name Last Name By : (Petitioner) First Name Middle Name(s) Last Name By : (Co - Petitioner) First Name Middle Name(s) Last Name Amended Notice and Order for Confidential Name Change Hearing Case No. Co - (if any) name(s ) . Enter the case number on the far right. Enter the current legal name. Enter the proposed new name. Enter the name as it currently appears on the birth certificate. NOTICE IS GIVEN: A P etition was filed asking to change the name of t he person listed above: From: First Name Middle Name(s) Last Name To: First Name Middle Name(s) Last Name Birth Certificate: First Name Middle Name(s) Last Name IT IS ORDERED: This P etition will be heard in the Circuit Court of County, State of Wisconsin: The court will enter the place, date and time for the name change hearing. Place Date Time If you require reasonable accommodations due to a disability to participate in the court process, please call prior to the scheduled court date. Please note that the court does not provide transportation. American LegalNet, Inc. www.FormsWorkFlow.com