Notice Of Petition To Change Name Of Infant - New York Supreme Court Page 5

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12. No previous application has been made for this relief.
WHEREFORE, your petitioner respectfully prays that an order be granted permitting
said Infant to assume the name of [35. Insert infant new name]
.
[36. Date and County papers are signed in]
Dated:___________________ , New York
______________________ , 20___
Petitioner Signature
[37. Your signature]
Print Petitioner Name
[38. Print Your Name]

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