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Utah Order Changing Name Form

The Utah Order Changing form has to be completed and authorized to mark the completion of a name change in the State of Utah. The Utah order for changing names is signed by the judge and will be received by the applicant at their court hearing.

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Order Changing Name	 	Approved Board of District Court Judges 	August 13, 2008	 	Page 	1 of 3 	
 	
In the District Court of ________________ County , Utah 
Court Address ______________________________________________________  	
In the Matter of the Name Change of: 
_____________________________________ 
Petitioner  	
Order Changing Name  
_______________________________  
Case Number 
_______________________________  
Judge 
_______________________________  
Commissioner 	
(1 )  Petitioner appeared in Court on: ______________________ 	(date)	. 
(2)  Petitioner was born on: ______________________ 	
(date)	. 
(3)  The Petitioner’s birth  name was 	
 
First	 Name	 	
 
Middle Name (if any)	 	
 
Last Name	 	
 
Maiden Name (if any)	 	
THE COURT FINDS:  
(4)  (a) All notices required by law have been given.  	
(b) 	  No objections to the proposed name change were made.  	
(c) 	  Ob jections to the proposed name change were made by:  	
 	
(d) 	  Other findings 	(if any)	:

Order Changing Name	 	Approved Board of District Court Judges 	August 13, 2008	 	Page 	2 of 3 	
 
 
 
THE COURT CONCLUDES: 
(5)  (a) The requirements of Utah Code Section 42- 1-1 through 42- 1-3 have been 
met  and Utah Code Section 77 -27- 21.5(17) does n ot prohibit this order.  
(b)  It appears to the satisfaction of the court that the allegations in the petition 
are true and sufficient and that the petition should be granted.  
THE COURT ORDERS:  
The Petitioner’s current legal name of  	
 
First	 Name	 	
 
Middle Na	me (if any)	 	
 
Last Name 
 
Maiden Name (if any)	 	
Is changed to  	
 
First	 Name	 	
 
Middle Name (if any)  
 
Last Name	 	
 
Maiden Name (if any)	 	
The Petitioner may use  this new legal name from this date forward.  
 	Sign here 	►	 	 	
Date	 	
Judge

Order Changing Name	 	Approved Board of District Court Judges 	August 13, 2008	 	Page 	3 of 3 	
 
 	
Certificate of Service	 	
I certify that I served a copy of this 	Order Changing Name	 on the following people.	 	
Person’s Name	 	Method of Service	 	
Served at this 	
Address	 	
Served on 
this Date	 	
(Other Party or Attorney)	 	
 Mail	 	
 Hand Delivery  
 Fax 	(Person agreed to service by fax.)  	
 Email 	(Person agreed to service by email.)  	
 Left at business 	(With person in charge 
or in receptacle for deliveries.)  	
 Left at home 	(With person of suitable age 	and discretion residing there.)	 	
 	 	
 	
 Mail	 	
 Hand Delivery  
 Fax 	(Person agreed to service by fax.)  	
 Email 	(Person agreed to service by email.)  	
 Left at business 	(With person in charge 
or in receptacle for deliveries.)  	
 Left at home 	(With person of suitable age 	and discretion residing there.)	 	
 	 	
 	
 Mail	 	
 Hand Delivery  
 Fax 	(Person agreed to service by fax.)  	
 Email 	(Person agreed to service by email.)  	
 Left at business 	(With person in charge 
or in receptacle for deliveries.)  	
 Left at home 	(With person of suitable age 	and discretion residing there.)	 	
 	 	
Date    Sign here ►   	
Typed or printed name
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