Last updated: 1/12/2023
Affidavit For Name Change
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Description
ROLL OF ATTORNEYS INFORMATION AFFIDAVIT FOR NAME CHANGE 1. My current name and bar number for the Indiana Supreme Court Roll of Attorneys First name Middle Name Last Name Bar Number County 2. Date of Marriage State 3. My new legal name (which is how my name will appear on the Indiana Supreme Court - Roll of Attorneys) First name Middle Name Last Name Email VERIFICATION I SWEAR OR AFFIRM, UNDER PENALTIES FOR PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE DATE: SIGNATURE: THIS FORM MAY NOT BE FAXED. AN ORIGINAL SIGNATURE MUST BE RECEIVED BY THE CLERKS OFFICE. American LegalNet, Inc. www.FormsWorkFlow.com