IN THE CHANCERY COURT FOR _____________ COUNTY, TENNESSEE
PETITION FOR CHANGE OF NAME
Petitioner (Print or Type)
Docket No. _________________
Comes now the petitioner requesting change of name and makes oath and/or affirmation that the following facts are correct and
1. My full name is ______________________________________________________________. I am a resident of
(Current Legal Name)
_______________________ County, Tennessee, residing at ____________________________________________________.
I am a citizen of _____________________________.
2. I am more than 18 years of age. I was born on ____________________________________ in
___________________________, in ________________________ County. The name given to me at birth was
__________________________________________________________ as reflected on my birth certificate issued by the State of
3. All other names and aliases by