Fill and Sign the Maryland Change Name Adult Form

IN THE MATTER OF: * IN THE       Your Current Name * CIRCUIT COURT       Street Address * FOR       City, State, Zip *             Telephone * Civil No.       FOR CHANGE OF NAME TO: *       * * * * * * * * * * * * * * PETITION FOR CHANGE OF NAME (Adult) (DOM REL 60) TO THE HONORABLE, THE JUDGE OF SAID COURT: Petitioner,       , respectfully represents (your current name) to this Court: 1. That I was born on       , in       , (your birhtdate) (your birthplace – city, state, country) and presently reside at       . (present address) 2. That I was born       . (See copy of (your birth name) attached birth certificate). My name has been changed to the following since birth for the following reasons ( List any reasons why your name may have changed since birth, for example, marriage). Name Changed to: Reason:                                                 I have attached any documents that changed my name officially. 3. Select one of the following: Page 1 of 2 DR 60 (Rev. 9/2005 I have never registered as a sexual offender; OR I am or have previously been registered as a sexual offender under the following name:       4. I am requesting this change of name because:                                                 5. I wish to change my name to:       . (new name) 6. I hereby certify that the above change of name is not requested for any illegal or fraudulent purposes. WHEREFORE, I respectfully request that the Court pass an Order changing my name from to             . Current Name New Name I,       , solemnly affirm under the penalties (your current name) of perjury, that the contents of the foregoing paper are true to the best of my knowledge, information and belief.       Your Signature       Your Name – Printed       Address       City, State, Zip       Telephone Number Page 2 of 2 DR 60 (Rev. 9/2005