IN THE CIRCUIT COURT OF
COUNTY, WEST VIRGINIA
CHANGE OF NAME FROM
Civil Action No.
Comes now the Petitioner,
, and petitions this Court to change
the Petitioner’s name from _________________________ to ____________________________.
In support of this Petition, the Petitioner states as follows:
Petitioner has been a bona fide resident of
Virginia, for at least one year prior to the filing of this Petition;
Petitioner is currently over the age of eighteen (18) years of age.
Petitioner is asking the Court for a name change for the following reason(s):
(list the reasons you want the name change): _____________________________
Petitioner would seek the Petitioner’s name to be c