Legal Change Petition Form

LEGAL CHANGE PETITION FORM

Petitioner Name:    Petitioner Address:

Respondent Name:    Respondent Address:

Case Number:    Filed on: Month Day Year

Recitals

WHEREAS, Petitioner is the party identified above and seeks judicial or administrative relief to effect a lawful change described herein; and

WHEREAS, Respondent is an affected person or entity with an interest in the existing record, contract, or status quo, and whose rights may be affected by the requested change; and

WHEREAS, Petitioner asserts that the change sought is supported by law, fact, or equitable principles and that notice has been or will be provided in accordance with applicable procedure;

NOW, THEREFORE, Petitioner respectfully petitions the appropriate forum for the relief described in this Petition and alleges as follows.

1. Petition for Change

Petitioner requests the following change (select all that apply and provide a detailed description below):

Name Change    Amendment to Agreement or Instrument    Correction of Record/Error    Other

2. Jurisdiction and Venue

Petitioner asserts that this forum has jurisdiction and venue for the relief requested under the following authority or reason:

3. Basis for Relief

Petitioner sets forth the factual and legal grounds supporting the requested change. These facts are true and based on personal knowledge, records, or reasonable inquiry.

4. Supporting Evidence and Attachments

The following exhibits are submitted in support of this Petition. Check and identify each attachment.

Exhibit A — Affidavit or Declaration
Exhibit B — Certified Records or Documents
Exhibit C — Consent or Joinder of Parties
Other (describe below)

5. Notice and Service

Petitioner will provide notice to Respondent in accordance with applicable rules. Indicate method of service and address for service of papers.

6. Hearing and Proposed Order

Petitioner requests that the forum schedule a hearing to consider this Petition and enter an order granting the requested relief.

Proposed Hearing Date (if known): Month Day Year

7. Fees, Costs, and Bonds

Petitioner states whether any filing fee, bond, or security is required, and who will bear the costs of notice, publication, or other expenses.

8. Certification

I declare under penalty of perjury under the laws of the applicable jurisdiction that the foregoing is true and correct to the best of my knowledge, information, and belief, and that this Petition is brought in good faith and not for purposes of delay or harassment.

Governing Law; Miscellaneous Provisions

Governing Law: This Petition and any order entered pursuant to it shall be governed by the substantive law of the jurisdiction identified in the Jurisdiction and Venue section, without regard to conflict of laws principles.

Entire Petition: This document, including its exhibits, constitutes the entire Petition and supersedes any prior oral or written statements relating to the requested change.

Severability: If any provision of this Petition is found to be invalid or unenforceable, the remainder shall continue in full force and effect.

Amendments and Waiver: Any amendment to this Petition must be in writing and signed by the party making the amendment. Failure to insist on strict performance of any provision shall not constitute a waiver.

Counterparts: This Petition may be executed in counterparts, each of which shall be treated as an original and all of which together shall constitute one instrument.

Notices

All notices required or permitted hereunder shall be delivered in the method stated above and to the following notice addresses for the parties.

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