/Franklin/Probate/Name%20Change/Adult/Judgment%20Entry%20Change%20Of%20Name%20%7B21.1%7D_firstPage.jpg?AWSAccessKeyId=AKIAJKLRW4A3X2WJFD7Q&Expires=1731847340&Signature=2vJvTsHaWLA4TTKIy35fcULi3Go%3D)
Last updated: 9/15/2021
Judgment Entry Change Of Name {21.1}
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Description
FRANKLIN COUNTY PROBATE COURT LAWRENCE A. BELSKIS, JUDGE ROBERT G. MONTGOMERY, JUDGE Present Name Name Requested PC-NC-21.1 (Rev. 12-2000) IN RE: CHANGE OF NAME OF TO 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 applicants complete name at birth was applicants date of birth was , , and the place of birth was . City County State Therefore, it is ORDERED the name of be changed to . Signature Page Attached LAWRENCE A. BELSKIS Robert G. Montgomery, Judge 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. ROBERT G. MONTGOMERY LAWRENCE A. BELSKIS Probate Judge/Clerk By Deputy Clerk Date FORM 21.1 - JUDGMENT ENTRY - CHANGE OF NAME OF ADULT 11-1-00 American LegalNet, Inc. www.FormsWorkFlow.com
