Fill and Sign the D 202 Cvno Form

No .____________________________ __________ J UDICIAL DISTRICT COURT COUNTY OF ________________ __ _ ST ATE OF N EW ME XICO IN TH E MATTER O F THE PE TITION O F ___________________________________ FOR CHANGE O F NAME OF _______________________________________ P ETITION TO CHANGE NAME ( OF PERSON UNDER 14 YEARS OF AGE ) 1. COMES NOW the Petitioner, ___________________________________________ who is Print your full name. making this application to change the legal name of ________________________________ Print the fu ll legal name o f the child . ( “the child”) pursuant to §40-8-1, NMSA 1978, and states as follows: 2. The child is under the age of fourteen (14) years. 3. Th e Petitioner is the child's natural mother /father and is representing the child 's interest in th is matter. 4. The child and the Petitio ner ar e residents of ______________________________________, Print the city in wh ich you live. _ _______________ County, New Mexico. 5.The Petitioner seeks the following name change for the child: Current Name Proposed Name Year of Birth 6.P etitioner is aware that §40 -8-1, NMSA, 1978, requires that notice be given to both legal p arents and will provide proof of the required notice at the time of the hearing. 7.T here is no sufficient cause to the contrary why the name of the child should not be changed to and established as stated in paragraph 5 of this petition . 1 Petition for Name Change (Under 14) rev. 1 1/6/17 WHEREFORE, Petitioner prays: 1. That the Court set a hearing in this matter; and 2. Following the time set for the hearing, the Court enter its Order changing and establishing the child’ s name as stated in paragraph 5 of this petition. R espectfully submitted, _________________________________________ Signature, Petitioner, pro se Name: ___________________________________ Mailing Address: ___________________________ _________________________________________ _________________________________________ Phone number ________________________ 2 Petition for Name Change (Under 14) rev. 1 1/6/17