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Fill and Sign the Petition Change Name Form

Fill and Sign the Petition Change Name Form

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IN RE CHANGE OF NAME OF: In the       Court Number             District Court County Court of Law             County, Texas                   Current Full Legal Name of Individual(s) seeking Name Change (JOINT) PETITION FOR CHANGE OF NAME TO THE HONORABLE COURT: PETITIONER(S), by this petition and, upon being duly sworn, respectfully represents and shows unto the Court: A. Adult Petitioner 1. Petitioner’s present name is       . 2. Petitioner’s required personal information is as follows: a. Full name (First Name, Middle Name, and Last Name):       b. Residence address: Street Address:       City, State, Zip:       c. Sex: male female d. Race: Caucasian African-American Hispanic Other:       Joint Petition for Change of Name Page 1 of 10 e. Date of Birth:       . Place of Birth (County and State):       f. At birth, Petitioner was name       . Petitioner’s birth mother is       and Petitioner’s birth father is       . g. Petitioner’s spouse’s name is:       and she is the Co-Petitioner herein. h. Petitioner’s children’s name(s), age(s) and place(s) of residence are: Name:       Age:       Address:             Name:       Age:       Address:             Name:       Age:       Address:             Name:       Age:       Address:             i. Driver’s license number and issuing state for any license issued in the past 10 years: No.       State       No.       State       j. Social Security Number:       k. Assigned FBI number, state identification number, or any other reference number in a criminall history record system: (if inapplicable write None) FBI No.       State ID No.       Other, specify       Joint Petition for Change of Name Page 2 of 10 l. The Petitioner is is not subject to the registration requirements of the Sex Offender Registration Program pursuant to Chapter 62, Texas Code of Criminal Procedure. m. Any offense above the grade of Class C misdemeanor for which Petitioner has been charged (if not applicable write none): Date of Charge Offense Charged                         n. The case number and court if a warrant was issued or a charging instrument was filed or presented for an offense listed in k. above. Date of Charge Case Number Court                                     o. Petitioner has attached hereto a legible and complete set of Petitioner’s fingerprints on a fingerprint card format acceptable to the Department of Public Safety and the Federal Bureau of Investigation. 3. Petitioner desires to hold another name other than that now held, and the name which Petitioner proposes to hold is as follows:       4. That the Petitioner prays for the change of name for the following reasons:       5. That the proposed change in the Petitioner’s name, if granted, will not be detrimental to the interests of any other person and is not against the public interest. Joint Petition for Change of Name Page 3 of 10 6. That Petitioner has never been convicted of a felony and has no judgments outstanding against Petitioner. This Petition is not filed to defraud creditors. 7. Petitioner (check one) owns no real estate or owns real estate in       County,       . B. Adult Co-Petitioner None 1. Petitioner’s present name is       . 2. Petitioner’s required personal information is as follows: a. Full name (First Name, Middle Name, and Last Name):       b. Residence address: Street Address:       City, State, Zip:       c. Sex: male female d. Race: Caucasian African-American Hispanic Other       e. Date of Birth:       . Place of Birth (County and State):       f. At birth, Petitioner was name       . Joint Petition for Change of Name Page 4 of 10 Petitioner’s birth mother is       and Petitioner’s birth father is       . g. Petitioner’s spouse’s name is:       and he is the Co-Petitioner herein. h. Petitioner’s children’s name(s), age(s) and place(s) of residence are: Name:       Age:       Address:             Name:       Age:       Address:             Name:       Age:       Address:             Name:       Age:       Address:             i. Driver’s license number and issuing state for any license issued in the past 10 years: No.       State       No.       State       j. Social Security Number:       k. Assigned FBI number, state identification number, or any other reference number in a criminal history record system: (if inapplicable write None) FBI No.       State ID No.       Other, specify       l. The Petitioner is is not subject to the registration requirements of the Sex Offender Registration Program pursuant to Chapter 62, Texas Code of Criminal Procedure. Joint Petition for Change of Name Page 5 of 10 m. Any offense above the grade of Class C misdemeanor for which Petitioner has been charged (if not applicable write none): Date of Charge Offense Charged                         n. The case number and court if a warrant was issued or a charging instrument was filed or presented for an offense listed in k. above. Date of Charge Case Number Court                                     o. Petitioner has attached hereto a legible and complete set of Petitioner’s fingerprints on a fingerprint card format acceptable to the Department of Public Safety and the Federal Bureau of Investigation. 3. Petitioner desires to hold another name than that now held, and the name which Petitioner proposes to hold is as follows:       . 4. That the Petitioner prays for the change of name for the following reasons: (describe in detail):       5. That the proposed change in the Petitioner’s name, if granted, will not be detrimental to the interests of any other person and is not against the public interest. 6. That Petitioner has never been convicted of a felony and has no judgments outstanding against Petitioner. This Petition is not filed to defraud creditors. Joint Petition for Change of Name Page 6 of 10 7. Petitioner (check one) owns no real estate or owns real estate in       County,       . C. Minor Child(ren) 1. Petitioner(s) request the Court grant the following name changes to the minor child(ren) of the Petitioner(s): From To                                                 2. Petitioner(s) submit the following personal information regarding the minor child(ren): a.       : Address:       Date of Birth:       Place of Birth:       Social Security Number:       Driver's License No.       State:       Minor Petitioner has had no license in last 10 yrs. b.       : Address:       Date of Birth:       Place of Birth:       Social Security Number:       Joint Petition for Change of Name Page 7 of 10 Driver's License No.       State:       Minor Petitioner has had no license in last 10 yrs. c.       : Address:       Date of Birth:       Place of Birth:       Social Security Number:       Driver's License No.       State:       Minor Petitioner has had no license in last 10 yrs. d.       : Address:       Date of Birth:       Place of Birth:       Social Security Number:       Driver's License No.       State:       Minor Petitioner has had no license in last 10 yrs. 3. None of the minor children are subject to continuing jurisdiction of any court in the State of Texas under Chapter 155 of the Texas Family Code. OR The following child is subject to the continuing jurisdiction of the following Courts in Texas under Chapter 155 of the Texas Family Code: Name:       Court:                                           4. Joint Petition for Change of Name Page 8 of 10 None of the minor children are subject to the registration requirements of the Sex Offender Registration Program pursuant to Chapter 62, Texas Code of Criminal Procedure. OR The following child is subject to the registration requirements of the Sex Offender Registration Program pursuant to Chapter 62, Texas Code of Criminal Procedure: Name:       Court:                                           Wherefore, the Petitioner(s) prays that, by an Order of this Court, made and entered herein, the names of Co-Petitioner’s and their minor child(ren) be changed to and decreed to be: From To Petitioners:                         Minor Child(ren):                                                 I have read the foregoing petition and know of my own knowledge that the facts stated therein are true and correct, except as to those matters stated upon information or belief and as to those I believe them to be true. Petitioner       Type or Print Name Joint Petition for Change of Name Page 9 of 10 Petitioner       Type or Print Name STATE OF TEXAS COUNTY OF ________________________ This instrument was acknowledged before me on       (date) by       and (name or names of person or persons acknowledging). Notary Public       Type or Print Name My Commission Expires: __________________ STATE OF TEXAS COUNTY OF ________________________ This instrument was acknowledged before me on       (date) by       and (name or names of person or persons acknowledging). Notary Public       Type or Print Name My Commission Expires: __________________ Joint Petition for Change of Name Page 10 of 10

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