Fill and Sign the For a Change of Name Form

Verified Petition for Change of Name of AdultPage 1 of 2 IN THE DISTRICT COURT OF __________________ COUNTY STATE OF OKLAHOMA IN THE MATTER OF ) ) Case No. _________________ ) Petitioner ) ) FOR A CHANGE OF NAME. ) VERIFIED PETITION FOR CHANGE OF NAME OF ADULT Petitioner makes the following declaration: 1. Date and Place of Birth: Petitioner was born on , in the City of , County of , in the State of . A certified copy of the Petitioner’s: Birth Certificate – No. , which is registered in the State of Lawful Permanent Resident Card or Certificate of Naturalization/Citizenship is attached to this petition. 2. Birth Name: Petitioner was named at birth, and as of the date of this petition, the Petitioner has always been known by that name with the following exceptions, if any: [insert all previous names used and describe the circumstances] 3. Residence: Petitioner resides at and has lived at this address for [insert length of time in months and years that Petitioner has lived at the above address.] 4. Petitioner’s Parents: The father of the Petitioner is named , and he resides at . The mother of the Petitioner is named and she resides at . 5. Petitioner seeks to change his name to: for the following reason(s): 6. Petitioner does not have any outstanding civil judgments, has never been convicted of a crime, and is not involved in any pending legal actions. 7. In addition to the foregoing statements, the Petitioner further declares: Verified Petition for Change of Name of AdultPage 2 of 2 [insert any additional declarations, if any]. THEREFORE, the Petitioner requests that the court order the Petitioner’s name changed as follows: From: To: State of Oklahoma County of COMES NOW, Petitioner , and being first duly sworn, deposes and states that he is the petitioner in the above-entitled action, that he has read the foregoing Verified Pet ition for Change of Name of Adult and voluntarily executed the same, and that he knows the contents thereof to be true, except as to those items stated on information, and believes those items to be true. ____________________________________Petitioner SUBSCRIBED AND SWORN TO before me this ________ day of ________________, 20 _____ by . (Seal) Notary Public My commission expires: Type or Print Name