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Fill and Sign the Name Changes for Transgender Adults in New York State Form

Fill and Sign the Name Changes for Transgender Adults in New York State Form

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
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SUPREME COURT OF THE STATE OF NEW YORKCOUNTY OF ____________IN THE MATTER OF THE APPLICATION OF , Petitioner, FOR LEAVE TO CHANGE NAME TO: (His/Her) . (Proposed New Name) PUBLICATION NOTICE Index # ____________ Notice is hereby given that an order entered by the Supreme Court of County on , 20 , Index # / , copy of which may be examined at the office of the County Clerk, located in County, at , grants me the right affected on , 20 to assume the name of . My present name is . My address is . My place of birth is on , . ____________________________________Petitioner Print/Type Name

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