Kansas Name Change Forms – How to Change Your Name in KansasKansas Name Change Forms – How to Change Your Name in Kansas
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IN THE
DISTRICT COURT OF

JUDICIAL DISTRICT
COUNTY, KANSAS

IN THE MATTER OF THE PETITION OF
Case No. _____________
Present Name

Div. No. ______________
To Change His/Her Name to:
New Name

PURSUANT TO K.S.A. CHAPTER 60

PETITION FOR CHANGE OF NAME
Pursuant to K.S.A. 60-1402
Petitioner states:
1. I reside in the County in which this Petition is being filed.
2. I have been a resident of Kansas for more than sixty (60) days before filing this
petition.
3. My YEAR of birth is

and my place of birth is _________________________

County in the State of ______________________.
4. My birth certificate shows my name as:_____________________________________.
5. My present name is: ______________________________________________.
6. Other names I am using or have used are: ___________________________________
_____________________________________________________________________________.
7. I desire to have my name changed to:_______________________________________
because_________________________