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Fill and Sign the Final Name Change 497319497 Form

Fill and Sign the Final Name Change 497319497 Form

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JOHN LAWYER, ESQ. 12 MAIN STREET ANYWHERE, USA Attorneys for John Doe _____________________________ In the matter of the application of: JOHN DOE for leave to assume the name of JAMES DOE ______________________________ SUPERIOR COURT OF NEW JERSEY [INSERT] COUNTY: LAW DIVISION DOCKET NO. CIVIL ACTION FINAL JUDGMENT JOHN DOE, having made application to this Court by duly verified complaint for a judgment authorizing her to assume the name of JAMES DOE; and it appearing to the Court that all the provisions of N.J.S.A. 2A:52-1 to -4 and the Current N.J. Court Rules relating thereto have been complied with, IT IS on this ________ day of __________________, 2005, ORDERED AND ADJACENT that JOHN DOE, who was born [insert], and who social security number is [insert], be and hereby is authorized to assume the name [insert] from and after _____________________, 200_; and IT IS FURTHER ORDERED that within twenty days hereof plaintiff shall cause a copy of the Final Judgment to be published once in ___________________; and within forty-five days after entry of Judgment, plaintiff shall file proof of publication of this Final Judgment with the deputy Clerk of the Superior Court, [insert] County Courthouse, [insert address], [insert City], [insert State and Zip Code] 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 release the plaintiff = s social security number. ___________________________ J.S.C.

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