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Form #715Petition for Change of Name of Infant
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Petition for change of
name of infant.
County
Court, County of _________, State of _________
In the Matter of the Application of
_________, an infant, by _________ her only parent, to assume another name
To the County Court of _________ County:
The petition of _________, by _________, one of her
parents (or her parents or next friend).
1. _________ is an infant under sixteen years of age
and was born in the city of _________ on the _________ day of _________,
_________ [date], a child of the above named _________, her father, and
_________, her mother, deceased (or, if the mother and father were divorced or
if for any other reason are not making a joint application, see optional par
2), as appears from the annexed birth certificate (certificate of record of
birth).
[2. _________ died on the _________ day of _________,
_________ [date], at _________, _________.]
[2. The marriage of _________ and _________ was
dissolved by a judgment of _________ of the _________ court of _________ and
entered in the office of the county clerk of _________ county on the _________
day of _________.]
3. _________ now resides and for the past _________
months has resided with her father, _________ and her stepmother, _________,
wife of _________, at _________ street, in the city of _________, in the county
of _________.
4. _________ proposes to assume another name and the
name which she proposes to assume is _________.
5. The grounds for this application for such change of
name are as follows: _________.
The birth certificate shows the name _________, but
she has always gone by and has been called by the name of _________, she is and
has always been registered in school under the name _________, she prefers that
name to _________, she is contemplating a trip to _________ and desires that
her legal name conform with the name she has assumed, so that there may be no
difficulty respecting passports, visas and the like.
6. _________ is not married and has no children. She
is attending the public schools of the city of _________.
7. _________, neither under that name nor under the
name of _________, nor under any other name, has ever been convicted of a crime
nor adjudicated a bankrupt.
8. There are no judgments or liens of record and no
actions pending against _________ in any court of this state or of the United
States, or of any governmental subdivision thereof, or elsewhere, whether the
court be court of record or not. There are no bankruptcy or insolvency
proceedings, voluntary or involuntary, pending against petitioner in any court
whatsoever or before any officer, person, body or board having jurisdiction
thereof and petitioner has not at any time made an assignment for the benefit
of creditors.
9. There are no claims, demands, liabilities or
obligations of any kind whatsoever on a written instrument or otherwise against
_________ under the only name by which she has been known, which is the name
sought herein to be abandoned, and _________ has no creditors who may be
adversely affected or prejudiced in any way by the proposed change of name.
10. No previous application for this relief has been
made.
Wherefore, _________ prays that an order of this court
may be entered granting leave to her to assume the name of _________ in place
of that of _________ on a day to be specified therein not less than 30 days
after the entry of such order, and for such other and further relief as may be
proper.
_________ [date].
_________,
Petitioner
[Verification]
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Your use of this site constitutes your acceptance of our terms of use and your agreement
to hold this site, its officers, employees and any contributors to this site harmless
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site. If you do not agree to the above terms, please do not proceed.
These forms are provided to assist business owners and others in understanding important
points to consider in different transactions. They are offered with the understanding
that no legal advice, accounting, or other professional service is being offered
by these documents or on this website. Laws vary in the different states. Agreements
acceptable in one state may not be enforced the same way under the laws of another
state. Also, agreements should relate specifically to the particular facts of each
situation. Therefore, it is important to consult legal counsel whenever utilizing
these forms. The Forms are not a substitute for legal advice YourFreeLegalForms.com
is not engaged in recommending or referring members on the site or making claims
about the competence, character or qualifications of its participating members.
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Keywords: legal forms, family, change name, infant
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