Fill and Sign the Nevada Name Change Form

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 AFPT (Your name)       (Address)             (Telephone)       In Proper Person DISTRICT COURT _______________ COUNTY, NEVADA ) In the Matter of the ) CASE NO.: ______________ Application of: ) ) DEPT. NO.: ______________       ) ) ) for Change of Name to: )       ) AFFIDAVIT OF PETITIONER STATE OF NEVADA ) ) ss: COUNTY OF ___________ ) I. I, _______________ , Petitioner, do solemnly swear to testify herein to the truth, the whole truth and nothing but the truth. II. That I am the Petitioner in the above-entitled case. III. That I live at ___________________________ , __________________ , Nevada, _____________ . IV. That I first moved to ___________ County, Nevada on ________________ . It is my intention to live in ________ County for the foreseeable future. V. That I have read the Petition for Change of Name in this case and can testify that the allegations in the Petition are true and correct to the best of my knowledge. VI. That I request that the Court change my name from       to       . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 VII. That I have not been convicted of a felony. VIII. That I am not changing my name to avoid creditors or to commit a fraud. Dated this _____ day of ____________ , 20 _____ . Signature Name:       SUBSCRIBED and SWORN to before me this _____ day of (month) ____________ , (year) _____ . __________________________ NOTARY PUBLIC