CV-460 Notice and Order for Name Change Hearing

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Enter the name of the county in which this case was filed.

STATE OF WISCONSIN, CIRCUIT COURT, COUNTY In the matter of the name change of:

For Official Use

Enter the current name of the person whose name is proposed to be changed.

___________ (First, Middle, Last name)

____ (as it currently appears on the birth certificate)

Enter Petitioner’s and Co-Petitioner’s (if any) name(s) if the name change is for a minor under 14 years of age. Enter the case number on the far right.

By: (Petitioner)

_________________ First Name Middle Name(s) Last Name

Amended

By: (Co-Petitioner)

_________________ First Name Middle Name(s) Last Name

Notice and Order for Name Change Hearing
Case No.

NOTICE IS GIVEN THAT:
Enter the name as it currently appears on the/your birth certificate of the person whose name is proposed to be changed. Enter the proposed new name.

A petition has been filed asking to change the name of the person listed above: From:
First Name Middle Name(s) Last Name

To:
First Name Middle Name(s) Last Name

IT IS ORDERED: This petition will be heard in the Circuit Court of Wisconsin: Judge’s Name: Place: County, State of

The court will enter the judge’s name, county, place, date and time for the name change hearing.

If you need help in this matter because of a disability, please call:

Date: Time: IT IS FURTHER ORDERED:

Note: Enter the name of the newspaper and the county. You must publish this notice in the newspaper as ordered here.

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. BY THE COURT:

For Court Use Only.

Circuit Court Judge Signature Print or Type Name

Date

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.

CV-460, 04/08 Notice and Order for Name Change Hearing

§786.36, Wisconsin Statutes Page 1 of 1

This form shall not be modified. It may be supplemented with additional materials.


				
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posted:12/13/2008
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