SAMPLE Name Change Order

BRIAN D. ITON
Attorney at Law
700 E Palisade Ave #101
Englewood Cliffs, NJ 07632
Tel: (201) 731-3086
Fax: (201) 541-6674
Attorney for Plaintiff


__________________________________
PLAINTIFF’S NAME,

Plaintiff,

vs.
DEFENDANT’S NAME,

Defendant.

___________________________________

SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION:
FAMILY PART
_______________COUNTY

Civil Action

NAME CHANGE


THIS MATTER having come before the Court by way of application for a name change on behalf of APPLICANT’S NAME, and the Court having heard testimony from the applicant, and for good cause shown:

IT IS on this _____th day of ________ 201___ ORDERED:

1. That the applicant, APPLICANT’S NAME, shall have the right to resume the use of the name, to wit:

Name: APPLICANT’S NEW NAME
Date of Birth: XX/XX/XXXX
Social Security No.: ******-XXXX

_______________________________
J.S.C.