Free Microsoft Word - Change of Name.DOC - Ohio

PROBATE COURT OF _______________ COUNTY, OHIO

IN RE: CHANGE OF NAME OF ____________________________________________________________
(Present Name)

To _______________________________________________________________________________________
(Name Requested)

Case No. ________________________

APPLICATION FOR CHANGE OF NAME OF ADULT [R.C. 2717.01]

The applicant states that the applicant is an adult and has been a bona fide resident of _____________________________________ County, Ohio, for at least one year immediately prior to the filing of this application. The applicant requests a change of name from _____________________________________________________________________ to ________________________________________________________________________________________________________ for the following reason: ______________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ The applicant states that the applicant will cause notice of the application to be published once in a newspaper of general circulation in this county at least thirty (30) days before the hearing on this application.

________________________________________________ Attorney for Applicant ________________________________________________ Typed or Printed Name ________________________________________________ Address ________________________________________________ City State Zip _________________________________________________ Telephone Number (include area code) Attorney Registration No. _____________________

___________________________________________________ Applicant's Signature ___________________________________________________ Typed or Printed Name ___________________________________________________ Address ____________________________________________________ City State Zip _____________________________________________________ Telephone Number (include area code)

FORM 21.0 - APPLICATION FOR CHANGE OF NAME OF ADULT

11/01/00

(Reverse of Form 21.0)

JUDGMENT ENTRY SETTING HEARING AND ORDERING NOTICE
The Court orders this application set for hearing on the ____________ day of _______________________, ________, at _________ o'clock ____.m. The applicant is ordered to cause notice of the application to be given by one publication in a newspaper of general circulation in this county at least thirty (30) days prior to the hearing date as required by law.

_________________________________________________ Probate Judge

By:

_________________________________________________ Deputy Clerk