PROBATE COURT OF _______________ COUNTY, OHIO
IN RE: CHANGE OF NAME OF ____________________________________________________________
(Present Name)
To _______________________________________________________________________________________
(Name Requested)
Case No. ________________________
JUDGMENT ENTRY - CHANGE OF NAME OF MINOR
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 and proper notice was given to the legal parents, known father, or alleged father, as required by law. The Court further finds that reasonable and proper cause exists for changing the name and the name change is in the best interest of the minor. The Court finds the minor's complete name at birth was __________________________________________________________, the minor'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 Minor 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 21.3 - JUDGMENT ENTRY - CHANGE OF NAME OF MINOR
11/01/00