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Fill and Sign the Name Change Proceedings Douglas County Washington Form

Fill and Sign the Name Change Proceedings Douglas County Washington Form

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IN DISTRICT COURT, __________________ COUNTY, NORTH DAKOTA In the matter of Case No. for Change of Name to PETITION FOR NAME CHANGE 1. Petitioners’ names are ______________________________ and______________________________, and he/she/they reside(s) at ________________________________________________, County of ____________, State of North Dakota. Petitioners have been a residents of the State of North Dakota for at least six months prior to the filing of this Petition. A. 2. Petitioner, ______________________________, was born in the City of __________________, State of __________________. A copy of Petitioner’s birth certificate is attached, marked Exhibit “A”, and incorporated by reference. 3. The name of Petitioner’s birth father is ____________________________________, and the name of Petitioner’s mother is ____________________________________. 4. Petitioner desires to change his/her name to ______________________________ for the following reason: __________________________________________________________________ 5. A Notice of Petitioner’s intention to petition this Court for a change of name to: ____________________________________ was published in the ______________________________ newspaper on the ______ day of __________________, 20 ______. 6. Petitioner has never been convicted of a crime or a felony. The requested Name Change is not for the purpose of defrauding creditors or avoiding judgment in any legal action. B. 7. Petitioner, ______________________________, was born in the City of __________________, State of __________________. A copy of Petitioner’s birth certificate is attached, marked Exhibit “A”, and incorporated by reference. 8. The name of Petitioner’s birth father is ____________________________________, and the name of Petitioner’s mother is ____________________________________. 9. Petitioner desires to change his/her name to ______________________________ for the following reason: __________________________________________________________________ 10. A Notice of Petitioner’s intention to petition this Court for a change of name to: ____________________________________ was published in the ______________________________ newspaper on the ______ day of __________________, 20 ______. 11. Petitioner has never been convicted of a crime or a felony. The requested Name Change is not for the purpose of defrauding creditors or avoiding judgment in any legal action. C. Petitioners request the Court grant the following name changes to the minor children of the Petitioners: From To WHEREFORE , Petitioner requests an order of this court granting that the legal name of Petitioner be changed as follows, and for such further relief as the Court may deem just and proper. From To Petitioners: Minor Children: Dated: _____________________________________________________________ PETITIONER Print or Type Name ____________________________________ PETITIONER Print or Type Name

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