Kent County Name Change Petition Form

In the case of a person wanting to change their legal name in the State of Kent, the following form has to be completed and submitted.

Extracted Text for Proper Search

IN THE COURT OF COMMON PLEAS OF THE STATE OF DELAWARE 
 
IN AND FOR KENT COUNTY 
 
 
IN RE:  CHANGE OF NAME OF  )          
      )  C.A. NO. 
      )  
_____________________________  ) 
   Petitioner  ) 
 to     ) 
      ) 
_____________________________  ) 
 
PETITION FOR NAME CHANGE	
 
 
1.  Petitioner, whose address is __________________________________ 
___________________________ is a resident of Kent County, State of 
Delaware. 
2.  Petitioner desires to change his/her name from ___________________ 
_________________to _____________________________. 
3.  The reason for proposed name change is _______________________ 
________________________________________________________. 
4.  There are no creditors or other persons who will be defrauded or 
adversely affected by said name change. 
5.  There are no criminal proceedings pending against Petitioner. 
 
WHEREFORE, Petitioner respectfully prays that the Court enter an 
Order changing his/her name from _____________________________ to 
________________________________, pursuant to 10 Delaware Code. 
Sections 5901 to 5905. 
 
Dated: __________________    _____________________ 
        Petitioner

STATE OF DELAWARE  ) 
    ) SS. 
COUNTY OF KENT   ) 
 
 
   BE IT REMEMBERED that on the _____________ day of 
_________________ A.D. 20____, personally appeared before me, the 
subscriber, a Notary Public in and for the State and County aforesaid, 
_______________________________ who being by me duly sworn according to 
the law, deposes and says that he/she is Petitioner above named, and that the 
facts in the Petition are true and correct. 
 
 
     ____________________________ 
        Petitioner 
 
 
 
   SWORN TO AND SUBSCRIBED before me the day and 
year first above written. 
 
 
                 ______________________________ 
                     NOTARY PUBLIC