Form 12 - Ex-Parte Petition To Change Adult Name printable pdf download

Form 12 - Ex-Parte Petition To Change Adult Name

Ex-Parte Petition to Change Adult Name(Form 12 )

Petition

[1. Index No. & Year] Insert Index Number & the year it was purchased

[2. Fill in name(s)] Fill in the Current name

[3. Fill in name(s)] Fill in the New Name

[4. Your name(s)] Your name

[5. Your address]

[6. Insert County, State and Country of birth]

[7. Insert date of birth.]

[8. Attach certified copy of your birth certificate.]

[9. Select one.] Citizen of United States or Citizen of Foreign Country

[9a. If checked, complete information below] if you are a citizen of a foreign

country you must provided additional information to Court

[9b. Insert Country] Insert your country of citizenship

[9c. Alien Registration Number] Insert your registration number

[10. If there are child support obligations details are attached in a separate

statement.]

[11. If there are maintenance/alimony obligations details are attached in a

separate statement.]

[12. Explain your reasons for the application. Attach additional pages if

necessary] Describe what you are asking the court to do.

[13. If any of the above statements are not true, complete an explanation of

circumstances below]

[14. Insert new name.]

[15. Date and County papers are signed in] Fill in the date and the County

that you are signing the petition in.

[16. Your signature] Signature

[17. Print Your Name] Your Name

Verification

[18. Index No. & Year] Insert Index Number & the year it was purchased

[19. Fill in name(s)] Fill in the Petitioner name

[20. Fill in name(s)] Fill in the Respondent name

[21. Insert County where papers signed and notarized] State County

[22. Your name(s)] Your name

[23. Insert Petitioner or Respondent] Fill in petitioner or respondent.

[24. Insert the name(s) of the above documents e.g. affidavit, petition etc.]

Insert the name of the document you have signed

[25. SIGN YOUR NAME BEFORE NOTARY] Sign only before a notary public

[26. PRINT YOUR NAME] Your name

[27. Verification must be notarized] Document must be signed and notarized

Form 12 - Ex-Parte Petition To Change Adult Name