CV-460, 02/10 Notice and Order for Name Change Hearing 247786.36, 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 Name Change Hearing Case No. Co - name(s) if the name change is for a minor under 14 years of age. Enter the case number on the far right. Enter the current legal name. Enter the proposed new name. NOTICE IS GIVEN: A P etition was filed asking to change the name of t he person listed above: From : [First] [Middle] [Last] To: [First] [Middle] [Last] Enter the name as it currently appears on the birth certificate. Birth Certificate: [First] [Middle] [Last] The court will enter the place, date and time for the name change hearing. IT IS ORDERED: This P etition will be heard in the Circuit Court of County, State of Wisconsin: 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. Note: Enter the name of the newspaper and the county. You must publish this notice in the newspaper as ordered here. IT IS FURTHER ORDERED: Notice of this hearing shall be given by publication as a Class 3 notice for three (3) weeks in a row prior to the date of the hearing in the , a newspaper published in County, State of Wisconsin. Notice to Printers : Do not print the instructional text in the boxes along the left - hand column when publishing this notice . Print bolded text in bold typeface. American LegalNet, Inc. www.FormsWorkFlow.com