IN THE DISTRICT COURT OF __________________ COUNTY

STATE OF OKLAHOMA

IN THE MATTER OF THE APPLICATION

OF _____________________________
TO CHANGE HIS/HER NAME

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No. ______________

PETITION FOR CHANGE OF NAME

COMES NOW _______________________, the petitioner, and shows to the court:
1. The full and correct name of petitioner is __________________________; and
his/her address is ___________________________________________, ___________ County,
State of Oklahoma.
2. The petitioner now is, and has been for more than thirty (30) days next
preceding the filing of this petition, domiciled in the State of Oklahoma, and has
been an actual resident of ____________ County for more than thirty (30) days
preceding the filing of this petition.
3. The petitioner was born on the _____ day of __________ in the year _________
in _______________________________.
4. The petitioners birth was registered in ____________________, and the birth
certificate number is ____________________________.
5. The petitioner desires to have his/her present name changed from
_______________________________________ to _______________________________________.
The petitioner seeks to have his/her name changed for the following reason:
___________________________________________________________________________________
___________________________________________________________________________________

7. The petitioner does not seek to have his/her name changed for any illegal or
fraudulent purpose, or to delay or hinder creditors.
WHEREFORE the petitioner prays for an order and judgment of the court
changing his/her name from ___________________________________________________ to
_______________________________________________________.

___________________________________
PETITIONER

VERIFICATION
STATE OF OKLAHOMA
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COUNTY OF __________ )

ss.

____________________________, of legal age, being first duly sworn upon

oath deposes and states that he/she is the petitioner in the foregoing
petition; that he/she has read the same and that the facts and matters stated
therein are true and correct.
_____________________________________
(signature)
Subscribed and sworn to before me, a Notary Public, on this ____ day of
_________, 20___.

______________________________________
Notary Public
My Commission expires:
______________________________

IN THE DISTRICT COURT OF __________________ COUNTY

STATE OF OKLAHOMA

IN THE MATTER OF THE APPLICATION

OF _____________________________
TO CHANGE HIS/HER NAME

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No. _______________

NOTICE OF FILING PETITION FOR CHANGE OF NAME

To Whom It May Concern:
Take notice that ___________________________ has filed in the above court a
Petition to have his/her name changed as follows:

From _______________________ to

_________________________; and that the same will be heard by the District Court of
_________ County, Oklahoma, in the __________ County Courthouse, Court room ______,
located at __________________________, Oklahoma, on the _____ day of _____________
20____, at ________ oclock __m.; and that any person may file a written protest in
the case prior to the date set for hearing.
Dated this ______ day of _______________, 20________

___________________________________
JUDGE OF THE DISTRICT COURT

Petitioner:
_____________________
_____________________
_________, Oklahoma
Phone ________________

IN THE DISTRICT COURT OF __________________ COUNTY

STATE OF OKLAHOMA

IN THE MATTER OF THE APPLICATION

OF _____________________________
TO CHANGE HIS/HER NAME

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No. _______________

ORDER FOR CHANGE OF NAME

This matter came on for hearing this ____ day of ____________, 20____, before a
District Judge of the District Court in and for _______________ County, State of
Oklahoma, upon the verified application of _______________________ for change of
name, filed in this Court on the ___ day of ___________, ______; and the petitioner
appearing personally, and the Court having heard evidence of the witnesses duly
sworn, finds:
1. That the petitioner now is, and has been for more than thirty (30) days next
preceding the filing of this petition, domiciled in the State of Oklahoma, and has
been an actual resident of ____________ County for more than thirty (30) days
preceding the filing of this petition.
2. That the notice of filing said petition has been given by publication in a
newspaper of general circulation in __________ County for at least ten (10) days
prior to this hearing as reflected by the proof of publication filed in this case.
3. That the petitioner was born on the _____ day of ____________ in the year
_______ in _________________, where the petitioners birth was recorded.
4. That the petitioner desires to have his/her present name changed from
______________________________ to ________________________________ and that the

petitioner is entitled to such relief for the reason set forth in the verified
petition, and that the petitioner does not seek to have his/her name changed for
any illegal or fraudulent purpose or to delay or hinder creditors.
IT IS THEREFORE ORDERED, ADJUDGED, AND DECREED BY THE COURT
petitioners name is hereby changed from ____________________________________ to
________________________________ and that the Bureau of Vital Statistics is ordered
to make this change upon petitioners official records, and that copies of this
order may be furnished to other necessary agencies to make such change upon the
petitioners official records.

___________________________________
JUDGE OF THE DISTRICT COURT