IN THE CIRCUIT COURT OF {COUNTY NAME} COUNTY, MISSOURI

JOHN DOE, by his next friend,
JANE JONES	)
{STREET ADDRESS}	)
{CITY}, MO  {ZIP},	)
	)
	)	CASE NO. ____________________
	)
PETITIONER.	)

	PETITION FOR NAME CHANGE
COMES NOW Petitioner JOHN DOE by his next of friend JANE DOE, by his undersigned counsel of record pursuant to Rule 95 of the Missouri Rules of Civil Procedure, and for his Petition for Change of Name states to the Court as follows:
1.	Petitioner’s present name is JOHN DOE.
2.	Petitioner desires that his name be changed to JOHN JONES.
3.	Petitioner desires to change his name because {EXPLANATION OF REASON FOR NAME CHANGE e.g., Petitioner has lived with his mother and stepfather for several years, has little contact with his biological father, and desires to change his surname to that of his mother and stepfather}. 
4.	Petitioner is a resident of {COUNTY}County, Missouri, residing at {STREET, CITY}, Missouri.
5.	Petitioner was born on {BIRTH DATE}, in {CITY, COUNTY, STATE}.
6.	Petitioner’s father’s name is JAMES DOE
7.	Petitioner’s mother’s maiden name is JANE REED.
8.	Petitioner is not married.
9.	Petitioner has no children.
10.	Petitioner has never previously requested or received a name change.

11.	There are no unsatisfied judgments for money pending against Petitioner.
12.	There are no actions for money pending against Petitioner.
13.	The change of name will not be detrimental to any other person.
WHEREFORE, Petitioner prays this Court that his name be changed from JOHN DOE to JOHN JONES and for such other and further relief as the Court deems proper.

_____________________________________
Sam Smith, Esq.

STATE OF MISSOURI	)
) ss.
COUNTY OF ST. LOUIS	)

I, JANE JONES, next friend of JOHN DOE, being first duly sworn upon my oath state that I am the next friend of Petitioner herein and that I have read the foregoing Petition and that the matters stated therein are true and accurate to the best of my knowledge, information and belief.  

_______________________________________
JANE JONES, next friend of 
JOHN DOE

Subscribed and sworn to before me this ____ day of April, 2009.

My Commission Expires: _____________________.

_______________________________________

Notary Public