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STATE OF NORTH CAROLINA IN THE GENERAL COURT OF JUSTICESUPERIOR COURT DIVISION COUNTY OF Before the Clerk of Superior Court IN RE: CHANGE OF NAME ) ) FROM: ) AFFIDAVIT OF CHARACTER ( current name) )(16 years of age and older) TO: ) (new name) ) The undersigned, bring duly sworn, deposes and says: 1. I am a resident of County, North Carolina. 2. I have known the Petitioner for years. I personally know him/her to be a person of good character and good standing in the community. This the ______ day of __________________, 20______. Signature Print or Type Name Street Address City, State and Zip Code Subscribed and sworn before me this ______ day of __________________, 20______ ____________________________________ Notary Public My Commission expires: __________________

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