Fill and Sign the Affirmation Name Change Form

-1- 1 23456789 10111213141516171819202122232425262728 AFRM (Your name) (Address) (Telephone) In Proper Person DISTRICT COURT ____________ COUNTY, NEVADA In the Matter of the ) Application of: ) CASE NO: ) ) DEPT. NO. (Your name) ) and ) ) (Your spouse’s name) ) for Change of Name for Themselves and ) for the Minor Children ) ) (First child’s name) ) and ) ) (Second child’s name) ) ) AFFIRMATION – NAME CHANGEPursuant to NRS 239.030 The undersigned does hereby affirm that the following documents do not contain the social security number of any person: (check the documents being filed at this time) For Petitions to Change Name Petition Consent for Change of Name Notice of Petition Order for Change of Name Request for Summary Disposition Affidavit of Petitioner Order Appointing Guardian Ad Litem Affidavit of Co-Petitioner Application for Appointment as Guardian Ad Litem Other ______________________________________________________________________ For Motion to Waive Publication and Seal File for Name Change Ex Parte Motion to Waive Publication Order Waiving Publication and Sealing File Family Court Cover Sheet Other The undersigned does hereby affirm that the following documents contain the social security number of a person as required by state or federal law or for the administration of a public program or for an application for a federal or state grant: (check the documents being filed at this time) Other (name of document)______________________________________________________ (your signature)____________________________ (date) _____________