Missouri Name Change Forms – How to Change Your Name in MOMissouri Name Change Forms – How to Change Your Name in MOMissouri Name Change Forms – How to Change Your Name in MO
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IN THE CIRCUIT COURT OF

, MISSOURI

(County where court is located. City of St. Louis is considered a county.)

In re:
Case No.
(First Name)

Petitioner

(Middle Name) (Last Name)
(Enter your full legal name above)

(Jr./Sr./III)

(Will be assigned when case is filed)

Division No.
(Will be assigned when case is filed)

Petition for Change of Name (For Adult Individual)
Your Information (You are the “Petitioner” in this case)
1.

My current full legal name is:
(First Name)

2.

(Middle Name)

(Jr./Sr./III)

(Last Name)

(Jr./Sr./III)

I want to change my name to:
(First Name)

3.

(Last Name)

(Middle Name)

Check one of the two boxes.
This is the first petition I have filed in this case. (Original Petition)
This is the second petition I have filed in this case.

4.

My mailing address is:
(Street)
(City)

(State)

(Zip)

(Telephone Number with Area Code) (E-mail Address - Optional)

5.

My parent’s full legal name is:
(First Name)

6.

(Maiden Name - if applicable)

(Last Name)

(Jr.