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. ________________________

JUDGMENT ENTRY - CHANGE OF NAME OF ADULT

On _______________________________________ an application for change of name was heard by this Court. The Court finds that proper notice of the application and hearing date was given by one publication in a newspaper of general circulation in this county at least thirty days prior to the hearing on the application. The Court further finds that reasonable and proper cause exists for changing the name. The Court finds that the applicant's complete name at birth was _______________________________________________________, applicant's date of birth was ______________________________________________________________, and the place of birth was ____________________________________________________________________________________________________________ City County State Therefore, it is ORDERED the name of __________________________________________________________________________ be changed to _______________________________________________________________________________________________

__________________________________________________ Probate Judge

CERTIFICATION OF JUDGMENT ENTRY
The above Judgment Entry - Change of Name of Adult is a true copy of the original kept by me as custodian of the records of this Court.

Probate Judge/Clerk By ______________________________________________ Deputy Clerk _________________________________________________ Date
FORM 21.1 - JUDGMENT ENTRY - CHANGE OF NAME OF ADULT 11/01/00