Fill and Sign the 2018 Form Canada Rsgam 5420 Fill Online Printable

Revised11/17/2014, CN 10551 - Name Change (Minor), Form C Page 1 of 1 Name Street Address City, State, Zip Telephone NumberIn the Matter of the Application of: Your NameTo Change the Name of: Name of Minor Child (first, middle, last)To: Name you wish your child to assumeSuperior Court Of New JerseyLaw Division CountyDocket No. (To be filled in by the court) CIVIL ACTIONFinal Judgment , having made application to this Court by duly (your name, first, middle, last) verified complaint for a judgment authorizing (check one) his her minor child to assume the name of , and it appearing to the Court that all the (name you wish to assume) provisions of N.J.S.A. 2A:52-1-4 and the Current N.J. Court Rules relating thereto have been complied with: IT IS ON THIS _____ day of ___________, 20_____, ORDERED and ADJUDGED that (leave blank for the court to complete) , was born on , and whose social (your child's name, first, middle, last) (month, day, year) security number is , be and hereby is authorized assume the name of (your social security number) , from and after , and (name you wish your child to assume) (leave blank for the court to complete) DO NOT WRITE BELOW THIS LINE THE COURT WILL COMPLETE IT IS FURTHER ORDERED that within twenty days here of plaintiff shall cause a copy of this Final Judgment to be published once in ; and within forty-five days after entry of Judgment, plaintiff should file a proof of publication of this Final Judgment with the deputy Clerk of the Superior Court (in which you filed your verified complaint) and a certified copy of this Final Judgment with the Department of Treasury pursuant to the provisions of the Statute and Rules in such case made and provided; and IT IS FURTHER ORDERED that the published version of the final judgment shall not contain the minor child's social security number.__________________Dated J.S.C.