Petition For Change Of Infant'S Name - New York Supreme Court Page 2
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Select One [14. Select one.]
___ Said infant is a citizen of the United States.
___ Said infant is a legal resident of the United States.
8. Said infant is single and has never been married.
9. Said infant has never been convicted of a crime.
10. There are no judgments or liens of record against said infant nor against any
property in his/her name. No action or proceeding is pending to which said infant is
a party. Said infant has never been adjudicated a bankrupt. In fact, no proceeding
in bankruptcy has ever been instituted by or against said infant in any court or
before any officer of the state or of the United States, nor has said infant at any time
made an assignment for the benefit of creditors. There are no claims, demands,
liabilities or obligations on a written instrument or otherwise against said infant or
to which said infant is a party. Said infant has no creditors and no person will be
adversely affected nor prejudiced in any way by the proposed change of name.
11. The grounds of this application are as follows: [15. Explain your reasons for
the application. Attach additional pages if necessary]
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