Fill and Sign the Change Legal Name Form

Name of Person Filing Document:       Your Address:       Your City, State, Zip Code:       Your Telephone Number:       Attorney Bar Number (if applicable):       Representing Self ((Without an Attorney) OR Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA       COUNTY Case Number:       In the Matter of: APPLICATION FOR CHANGE OF NAME FOR AN ADULT       Name of Applicant STATEMENTS TO THE COURT, UNDER OATH 1. INFORMATION ABOUT ME, THE APPLICANT Name:       Address:       Date of Birth:       County of Residence:       Place of Birth:       2. I ask that my LEGAL NAME be changed to:       3. REASON FOR THIS REQUEST FOR CHANGE OF NAME I request that the name be changed as listed above for the following reason(s):             4. ADDITIONAL STATEMENTS A. Has the applicant listed above been convicted of a felony? Yes No B. This application is made solely for the best interest of the person named above. It will not release the person from any obligations incurred or harm any rights of property or action in any original name. OATH AND VERIFICATION OF APPLICANT: STATE OF ARIZONA ) County of       ) ss. I, the Applicant, being duly sworn and under oath, state that I have read this Application. All the statements in the Application are true, correct, and complete to the best of my knowledge and belief. SIGNED:       Applicant’s Signature Subscribed and sworn to before me this       day of       ,       , by       . Applicant’s Name NOTARY PUBLIC:       My Commission Expires: