Notice Of Petition To Change Name Of Infant - New York Supreme Court (Page 6 of 7) in pdf

Notice Of Petition To Change Name Of Infant - New York Supreme Court Page 6

[Fill in the spaces next to the instructions.]

SUPREME COURT OF THE STATE OF NEW YORK

COUNTY OF NASSAU

----------------------------------------------------------------------------x

In the Matter of the Application of

[39. Index No. & Year]

___________________________________________,

Index No.

[40. Fill in name(s)]

Petitioner(s)

___________ /

VERIFICATION

-against-

____________________________________________,

[41. Fill in name(s)]

Respondent(s)

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STATE OF NEW YORK}

SS. :}

COUNTY OF ____________}

[42. Insert County where papers signed and notarized]

_______________________________[43. Insert Your Name] , being duly

sworn, deposes and says: I am the__________________________ [44. Insert

Petitioner or Respondent] in this matter.

I have read the foregoing [45. Insert the name(s) of the above documents e.g.

affidavit, petition etc.]

and know the contents thereof.

The same are true to my knowledge, except as to matters therein stated to be alleged

on information and belief and as to those matters I believe them to be true

_____________________________

[46. SIGN YOUR NAME BEFORE NOTARY]

_________________________________

[47. PRINT YOUR NAME]

Sworn to before me this

day of ______________, 20 __

___________________________

Notary Public

[48. Verification must be notarized]

Notice Of Petition To Change Name Of Infant - New York Supreme Court Page 6