Prepared by U.S. Legal Forms, Inc.
Copyright 2017- U.S. Legal Forms, Inc.
STATE OF NORTH CAROLINA
NAME CHANGE
ADULT PACKET
Control Number – NC -NAME-1
This packet contains the following:
1. Instructions ;
2. Forms List ; and
3. Access to North Carolina Law Summary .
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I. EXPLANATION OF PETITION FOR CHANGE OF NAME
A. In North Carolina, an action for a court ordered Change of Name begins
with the posting of the Notice of Intent to Change Name in the
courthouse for ten (10) consecutive calendar days. The forms in this
packet include the necessary information for an Adult Name Change in
the State of North Carolina.
B. You can use this packet if:
► You are at least 18 years of age and a resident of the county in
which you will fle.
► You have good and sufcient cause for the requested change of
name.
► You are not changing your name as part of a divorce, adoption or
paternity matter.
► You are not changing your name to avoid debts or defraud
creditors.
II. FOR AN ADULT, OR A MINOR WHO WILL BE 16 YEARS OF AGE BUT
LESS THAN 18 AT THE TIME OF FILING, YOU WILL NEED TO COMPLETE THE
STATE AND FBI CRIMINAL RECORDS CHECK! What do I do frstt
SUGGESTION: The following site appears to be FBI approved and is a faster way to
obtain the necessary FBI criminal history check required for the name change
process. The detailed FBI process is included below in Section III. The Federal
information below in Section II is from the following website:
http://www.myfbireport.com/index.php
1. READ THROUGH THE ENTIRE PACKET BEFORE DOING ANYTHING.
a. First, you must have their fngerprints taken. Any adult, or minor 16
years of age or older, wishing to change their name should check
with their Sheriffs department and determine if they do fngerprints
for name changes and their schedule. You can also check at:
http://www.myfbireport.com/locations/index.php
and locate a location in your area where the live scan process is
available for taking fngerprints.
b. An original fngerprint card is required for the State Criminal Record
Check and an original fngerprint card required for the Federal
Criminal Record Check.
You must request ink fnnerrrintinn for the Federal Criminal
Record Check .
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2. State Bureau of Investigation (SBI) procedures for requesting a Criminal
Record Check.
An individual may obtain a copy of his or her criminal history record by
submitting a written request to the:
North Carolina State Bureau of Investigation
Criminal Information and Identifcation Section
Attention: Application Unit – Right to Review
3320 Garner Road Post Ofce
Box 29500
Raleigh, North Carolina 27626-0500
The “Right to Review Request Form” and instructions are available at:
https://ncdps.s3.amazonaws.com/s3fs-public/documents/fles/SBIRight-to-
Review.pdf
The right to review request form must be accompanied by a certifed
check or money order in the amount of $14.00 payable to the North
Carolina State Bureau of Investigation, and must contain proof of identity
to include:
1. Complete name and address
2. Race
3. Sex
4. Date of Birth
5. Social Security Number – Optional
This can be done by providing a copy of your North Carolina Driverfs
License and your Birth Certifcate.
NOTE: Right to Review includes the right to a copy of your state criminal
history.
3. The “My FBI Report” procedure for requesting an FBI Criminal Record
Check:
Ster 1 – Comrletinn My Forms
The frst document to complete is the two page FBI Criminal Report Request
and Mailing Checklist form. This form is required with all orders. It is available
and can be completed at:
http://www.myfbireport.com/pdf/FBI_Criminal_Report_Request.pdf
When paying by credit card, include the Credit Card Authorization form. If you
would like your order sent directly to an attorney, you must include the
Attorney Release. Detailed instructions for each form are included below.
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FBI Criminal Rerort Request Form
This form is required with all orders. Required felds are:
Arrlicant Information
The applicant's frst name, last name and date of birth are required.
Please use your surname or "family name" for your last name. Use
your "given name" as your frst name and if you have more than one
middle name, please list them on separate lines.
Arrlicant Home Address
The applicant's full home address is required. This includes the street
address, city, state, postal or zip code and country.
Applicants must indicate if they are a U.S. Citizen or Legal Permanent
Resident (green card). If you are not a U.S. Citizens or Legal Permanent
Residents, you must order your report directly from the FBI. Please
visit their website at www.fbi.gov/about-us/cjis/nics/general-
information/cgbrochure
Home phone number and an email address are not required, but are
helpful if we need to contact you about your order. We encourage you
to include this information.
Mail Results to This Address
Please be aware that My FBI Report can only mail FBI criminal history
results to addresses in the United States.
You do not need to complete this section if you would like your FBI
Criminal Report results mailed to the applicant's home address.
FBI criminal history records can only be mailed to the applicant's
attorney. When completing this section to have your results
mailed to your attorney, you must include the Attorney Release
form.
Shirrinn
Please check one of the Shipping Option boxes and enter the
corresponding shipping fee in the payment column. There is no
charge for standard USPS First Class Mail.
North Carolina Adult Name Change Page 4 of 15
USPS First Class Mail
USPS Priority Mail (2-3 Day Delivery)
FedEx (Overnight Delivery)
Additional Cories
To prevent forgeries and alterations, your FBI Criminal Report will be
printed on special paper that creates a "VOID" watermark on
photocopies. Please be aware that you will not be able to make
unaltered copies of your FBI Criminal Report.
Enter the number of extra copies you would like included with your
order and enter the total charges in the payment column. If you only
need one copy of your FBI Criminal Report, you do not have to enter
anything on this line.
Important Note: FBI security standards require that we purge all FBI
Criminal Report information after it has been delivered to the
applicant. Because of these guidelines, additional copies of an old
report cannot be purchased. However, you can submit new fngerprints
at any time.
Total Payment
Please enter your order total on the "Total Payment Enclosed" line.
This should include the base report fee, premium shipping fee, if any,
and the total cost of additional copies of the criminal history report.
Payment Tyre
For payments with Visa or MasterCard, please include a completed and
signed Credit Card Authorization form. When paying by Cashier's
Check or Money Order, please make the payment payable to National
Credit Reporting. To access the form, go to
http://www.fbi.gov/aboutus/cjis/identity-history-summary-
checks/credit-card-payment-form .
Reason for My Request
Access to FBI criminal history information is regulated by Federal and
State law. My FBI Report follows all FBI guidelines when processing
orders, therefore we are not able to process your request if it is for
employment or licensing. See the FAQ for more information these
restrictions.
Please select the best match for why you are requesting your personal
FBI Criminal Report. If you're unsure which option to choose, you can
review the reasons to check my criminal report for more information.
Personal Review/Correction
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Work Visa/Student Visa
Foreign Residency/Travel
Adoption
Court Related
Attorney Request
Sinnature and Date
Don't forget to sign and date your application.
Mailinn Checklist Form
This document is required with all orders and can be downloaded as
part of the FBI Criminal Request form. The Mailing Checklist form
includes an afdavit stating that the information on your FBI Criminal
Report Request form is true and correct, and that the fngerprint
card(s) you are submitting have your fngerprint impressions.
Affidavit Statement
Don't forget to sign and date the mailing checklist afdavit statement
at the top of this form.
Required Checklist
Please verify that you have completed each checklist item as you
prepare to submit your forms and fngerprints to My FBI Report.
Frequently Ask Questions (FAQ)
The FAQ is not actually a form, but it is something that the FBI would
like you to read and understand before you order your personal criminal
history. It includes important information regarding who can request an FBI
criminal record and how that information may be used once it has been
received. To access the FAQ, go to http://www.myfbireport.com/pdf/FAQ.pdf .
Ster 2 – Carturinn Your Finnerrrints
For fastest service, a My FBI Rerort Preferred Live Scan Location can
capture your fngerprints and submit them electronically, eliminating the
need to mail or express deliver paper fngerprint cards.
When not using a Live Scan service, fngerprints can be submitted to My FBI
Report on standard FBI fngerprint cards. Most police departments, sherif's
ofces and college campus security ofces will "capture" your fngerprints for
a small fee.
Most fngerprinting locations use the standard FBI Fingerprint Form (FD-258).
If you're not sure, it is a good idea to confrm that your fngerprints are being
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taken on an FBI approved fngerprint card. The person taking your
fngerprints should be a trained technician. To obtain the FBI Fingerprint Form
(FD-258), go to
http://www.myfbireport.com/pdf/applicant_fd_258.pdf
While it is not required because of the extra cost involved, some customers
have two sets of prints taken. Poor quality prints may be rejected by the FBI,
and even an experienced fngerprint technician can have a difcult time
getting good quality prints on some applicants. Work-worn hands with faded
skin texture can make fngerprints more difcult to roll.
If turnaround time on your order is critical, consider sending two fngerprint
cards. If the frst fngerprint card is rejected by the FBI because of poor
fngerprint quality, we can quickly submit the prints from the second card,
saving valuable time.
When submitting two fngerprint cards, you will be contacted for
authorization before the second set of prints is submitted to the FBI. Each
submission to the FBI will incur the standard report fee.
Ster 3 – Submittinn My Forms & Finnerrrints
This section provides instructions for submitting your order to My FBI Report
after completing your application forms and having your fngerprints taken.
What to Submit
Use the list below to make sure you have included all required items with
your order. You can also use the checklist on the Mailing Checklist form.
FBI Criminal Report Request form is required with all orders
Mailing Checklist form is required with all orders
Payment in the form of cashier's check, money order or credit card
Credit Card Authorization form is required if payment is by credit card
Attorney Request form is required only if the criminal report is to be mailed
directly to your attorney
One or more copies of your fngerprint impressions on an FBI approved
fngerprint card(s).
How to Submit
If you live near a My FBI Rerort Preferred Live Scan Location, the local
facility will collect your completed application forms and capture you
fngerprints for electronic submission. THIS ELIMINATES THE NEED TO
MAIL FINGERPRINT CARDS, WHICH MAY SHORTEN THE TIME IT
TAKES TO RECEIVE YOUR PERSONAL CRIMINAL HISTORY
REPORT.
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When submitting paper fngerprint cards, you may use a large envelope and
standard US Mail to send your application forms and fngerprints to My FBI
Report. Do not fold the fngerprint card(s).
For faster results, use USPS Priority Mail or an overnight delivery service
when submitting your order.
Please review the Comrletinn My Forms section of this page for a
description of forms that are required for your application.
Where to Submit
Send your completed forms and fngerprints to:
National Credit Reporting
ATTN: FBI Consumer Report Request
6830 Via Del Oro, Suite 105
San Jose, CA 95119
Ster 4 – Receivinn My Rerort
Depending on the shipping option you selected, you will receive your
personal FBI Criminal Report by US Postal Service mail or FedEx.
My FBI Rerort strives to process all orders for submission to the FBI on the
day they are received. However, incomplete or missing information will delay
processing, so please double check your application for completeness before
submitting.
Cory Proof Parer
Following FBI guidelines, your FBI Criminal Report will be printed on
copy-proof paper to prevent changes or modifcations. One printed
copy of your personal criminal history report is included with each
order. For a small fee, additional copies can be requested when you
place your order.
Orderinn Cories of Old Rerorts
Imrortant Note: FBI security standards require that we purge all FBI
Criminal Report information after it has been delivered to the
applicant. Because of these guidelines, additional copies of an old
report cannot be ordered. However, you can submit new fngerprints
at any time.
Delivery Time
You should receive your FBI Criminal Record report within 5-7 business
days when using standard shipping – USPS First Class Mail.
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Delivery time can be shortened to 2-3 business days with USPS Priority
Mail, or overnight by using FedEx. Additional fees apply for premium
shipping.
Estimated delivery times are from the day your application and
fngerprint card(s) are received and processed by My FBI Report.
Orders are normally processed the day they are received; however, an
incomplete application or missing information will delay processing. If
you have not received your results within 21 days of your request,
please contact our ofce.
III. Requesting FBI Criminal Record Report directlky from the FBI.
Ster 1 : Complete the Arrlicant Information Form . To access the form, go
to
https://forms.fbi.gov/identity-history-summary-checks-
review/q384893984839334.pdf .
Include your complete mailing address. Please provide your
telephone number and/or e-mail address, if available.
Ster 2 : Obtain a set of your fngerprints.
Provide the original fngerprint card. Previously processed cards or
copies will not be accepted.
Your name and date of birth must be provided on the fngerprint
card. Fingerprints should be placed on a standard fnnerrrint
form (FD-258) commonly used for applicant or law enforcement
purposes.
Include rolled impressions of all 10 fngerprints and impressions of all
10 fngerprints taken simultaneously (these are sometimes referred to
as plain or fat impressions).
If possible, have your fngerprints taken by a fngerprinting
technician. This service may be available at a law enforcement
agency. To ensure the most legible prints possible, refer to the
Recordinn Lenible Finnerrrints brochure . To access the
brochure, go to
http://www.fbi.gov/aboutus/cjis/fngerprints_biometrics/recording-
legible-fngerprints.
Ster 3: Submit rayment.
Option 1: Obtain a money order or cashierfs check for $18.00 U.S.
dollars made payable to the Treasury of the United States.
Please be sure to sign where required.
Option 2: Pay by credit card using the Credit Card Payment Form.
Donft forget to include the expiration date of the credit card that you
are using.
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Important note: Cash, personal checks, or business checks WILL NOT
be accepted.
Payment must be for the exact amount.
If the request is for multiple copies per person, include $18 for each
copy requested.
Ster 4 : Review the FBI Identifcation Record Request Checklist to
ensure that you have included everything needed to process your request. To
access the checklist, go to http://www.fbi.gov/about-us/cjis/identity-history-
summary-checks/identity-historysummary-request-checklist-1 .
Ster 5: Mail the required items listed above—signed applicant information
form, fngerprint card, and payment of $18 U.S. dollars for each person or
copy requested—to the following address:
FBI CJIS Division – Record Request
1000 Custer Hollow Road
Clarksburg, WV 26306
Note: Although the FBI employs the most efcient methods for processing
these requests, processing times may take approximately fve to six weeks
depending on the volume of requests received.
For more information on how to obtain an acceptable criminal record check
you may go to the following web address to each applicant or print the
information on each website and provide a hard copy to each agency.
http://www.fbi.gov/about-us/cjis/background-checks (Federal Criminal Record
Check)
II. WHAT FORMS ARE INCLUDED AND/OR REQUIRED:
A. Special Proceedings Cover Sheet – (NC-NC-103) This document
provides the court with certain information about the parties.
B. Notice of Intent to Change – (NC-NC-100) Notice that you intend to
bring your Petition for Change of Name for hearing. This must be
posted in the manner described below.
C. Petition for Name Change - (NC-NC-101) This document states the reasons
and other required details for your name change.
D. Afdavit of Character - (NC-NC-102) Provides proof of the good character
of the petitioner as required by statute.
E. Afdavit Re Outstanding Tax or Child Support Obligation – (NC-NC-105)
Required afdavit regarding petitionerfs obligation re taxes or child
support, if any.
North Carolina Adult Name Change Page 10 of 15
NOTE: The Order will be provided by the Court after it is signed by the Judge.
If you did not order a completion package and need access to the download
page again for any of the above forms, please check your email for a link to
that will redisplay the page for you.
IMPORTANT: See Note re Form Fields on the last rane of this forms
racket.
III. PROCEDURE FOR CHANGE OF NAME (ADULT) FOR THE STATE OF
NORTH CAROLINA
A. Preliminary Note:
1. The attached forms may be completed by:
a. Printing the forms and completing by hand - Use black ink
and print neatly.
b. Printing the forms and completing using a typewriter.
c. By completing the forms on your computer using a word
processing program and then printing the forms.
2. Use complete names and not initials. Check your spelling
carefully, a misspelled word can delay your name change.
3. Print three (3) complete sets of forms.
4. All forms with a heading – the name of the court, the Petitionerfs
name, the case number, and the name of the document –
require that the heading be completed. You will need to add the
name of the court and the full name of the Petitioner. The
“Action/Cause No.” will be assigned by the court clerk at the
time of fling.
5. Forms that require your signature and include a notary block
MUST be signed in the presence of the notary or court clerk who
will complete the acknowledgement. Use your complete name –
frst name, middle name, last name.
6. When a form is fled with the court, request the clerk “fle-
stamp” one copy of the form for your fle.
7. A Law Summary has been included at the end of this form
packet. Review the Law Summary before beginning the process
of completing the forms.
B. General Procedure - (Use if County specifc Addendum is not available)
STEP 1
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Complete the Notice of Intent to File Name Channe form. Please
take this form to the Clerk of Court-Special Proceedings Department at
the Civil Courts Building, 800 E. Fourth Street, Room 201, Charlotte, NC
STEP 2
Your Notice of Intent to File Name Channe will be posted on the
bulletin board (between the escalator and the elevators) on the frst
foor of the Mecklenburg County Courthouse (823 E. Fourth Street) for
ten (10) consecutive days, as required by North Carolina statute. If the
10th day is a holiday or weekend, it must stay posted until the end of
the next business day.
STEP 3
Complete the Petition for Name Channe by typing or printing neatly
using black ink. Please note that this form MUST be signed before a
notary and notarized.
STEP 4
If you are an adult wishing to change your name, you must have two
(2) Affidavits of Character from RESIDENTS OF MECKLENBURG
COUNTY who are NOT related to you. Each Affidavit MUST be
notarized.
STEP 5
Complete the TOP PORTION of the Order of Name Channe .
STEP 6
When the Notice of Intent to File Name Channe has been posted
for 10 full,
consecutive days please remove it from the bulletin board and take it
to the Clerk of Court –Special Proceedings Department in Room 3720.
At the time you are fling the Notice of Intent to File Name Change you
will need to bring with you the following documents:
State Bureau of Investigation Criminal Record Check
Federal Bureau of Investigation Criminal Record Check
Petition for Name Change
Two (2) Afdavits of Character
Afdavit Regarding Outstanding Tax or Child Support Obligation
Birth Certifcate (1 original and 1 copy)
Photo Identifcation (driverfs license, passport, etc).
Proof of Residency – Documents with your name and current
address (utility bill, phone bill, cable bill)
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Filing fee in cash or money order
Order of Name Change
If you wish a copy of the Order mailed to you, you will need to
provide a self-addressed stamped envelope at the time you fle the
Notice of Intent.
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NOTE ABOUT COMPLETING THE FORM S
The forms in this packet contain “form felds” created using Microsoft Word. “Form
felds” facilitate completion of the forms using your computer. They do not limit you
ability to print the form “in blank” and complete with a typewriter or by hand.
If you do not see the gray shaded form felds, go the View menu, click on Toolbars,
and then select Forms. This will open the forms toolbar. Look for the button on the
forms toolbar that resembles a shaded letter “a”. Click in this button and the form
felds will be visible.
The forms are locked which means that the content of the forms cannot be
changed. You can only fll in the information in the felds.
If you need to make any changes in the body of the form, it is necessary for you
“unlock” or “unprotect” the form. IF YOU INTEND TO MAKE CHANGES TO THE
CONTENT, DO SO BEFORE YOU BEGIN TO FILL IN THE FIELDS. IF YOU
UNLOCK THE DOCUMENT AFTER YOU HAVE BEGUN TO COMPLETE THE
FIELDS, WHEN YOU RELOCK, ALL INFORMATION YOU ENTERED WILL BE
LOST. To unlock click on “Tools” in the Menu bar and then selecting “unprotect
document”. You may then be prompted to enter a password. If so, the password is
“uslf”. That is uslf in lower case letters without the quotation marks . After
you make the changes relock the document before you being to complete the felds.
After any required changes and re-protecting the document, click on the frst form
feld and enter the required information. You will be able to navigate through the
document from form feld to form feld using your tab key. Tab to a form feld and
insert your data. If problems, please let us know.
LAW SUMMARY
The law summary for this package may be located and printed from the following
address:
httr://www.uslenalforms.com/nc/NC-NAME-1.htm
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DISCLAIMER
These materials were developed by U.S. Legal Forms, Inc. based upon statutes and
forms for the State of North Carolina. All Information and Forms are subject to this
Disclaimer: All forms in this package are provided without any warranty, express or
implied, as to their legal efect and completeness. Please use at your own risk. If
you have a serious legal problem we suggest that you consult an attorney. U.S.
Legal Forms, Inc. does not provide legal advice. The products ofered by U.S. Legal
Forms (USLF) are not a substitute for the advice of an attorney.
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