Affidavit In Support Of Nunc Pro Tunc Order Change Of Adult'S Name - New York Supreme Court Page 2

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WHEREFORE, your petitioner respectfully asks that the Court grant me this Nunc Pro
Tunc order allowing me an additional sixty (60) days to comply with the terms of the
aforementioned order
[8. SIGN YOUR NAME BEFORE NOTARY]
[9. PRINT YOUR NAME]
Sworn to before me this
day of ______________, 20 __
___________________________
Notary Public
[10. Affidavit must be notarized]

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