COMES NOW the Petitioner in the above-captioned matter and for this Petition for Change of Name states the following:
a.
Social Security Number
_______/_______/______;
|
8. The
Name of which the Petitioner wishes to be known is:
______________________________________. 9. There
is no known reason to the Petitioner why a Name Change should
not be granted in this matter. 10. This
Petition is for the specific reasons set forth herein and is
made in good faith pursuant to said representations. WHEREFORE,
the Petitioner respectfully prays that the Court grant a Name
Change pursuant to the foregoing Petition. _________________________ (Name of Attorney or Petitioner) ________________________
(Petitioner’s Address) _________________________
(Petitioner’s City & State) _________________________
(Petitioner’s Phone Number)
AFFIDAVIT OF CERTIFICATION I,
________________________________ (Name of Petitioner), being first
duly sworn on oath depose and state that I am the Petitioner, as
above-captioned, and I have read the foregoing Petition for
Change of Name, including each and every paragraph, and hereby
state that the Petition and its’ contents are true and correct
in every respect. I
am aware of the ramifications of perjury in the event any of the
foregoing statements are determined to be untrue and,
accordingly, I hereby verify that the contents are correctly and
completely stated. __________________________________ STATE OF
_______________ COUNTY OF
_______________ The foregoing individual, _______________________________ (Name of Petitioner), personally appeared before me, a Notary Public in and for the County of _______________ and the State of _______________, on this _____ day of _______________, 20____ and swore or affirmed under oath that the foregoing statements contained within the Petition are true and correct as said Petitioner verily believes. __________________________________ (Notary
Public for _________________) My
commission expires on the ____ day of _______________, 20____.
This is not a substitute for legal
advice. An
attorney must be consulted. |
This is not a substitute for legal
advice. An
attorney must be consulted.
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