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Last updated: 8/15/2006
Petition For Change Of Name (Adult) (District II)
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Description
CLALLAM COUNTY DISTRICT COURT II STATE OF WASHINGTON In the Matter of the Change of Name of: ______________________________________, Petitioner Mailing Address: 502 E Division Forks, WA 98331 360-374-6383 NO. PETITION FOR CHANGE OF NAME (ADULT) COMES NOW _____________________and petitions the above-entitled court for an order changing his/her name to ________________________ and shows the court as follows: 1. Petitioner was born on the ______ day of ____________________ ____________, in ____________ County, State of ______________________; is a resident of Clallam County, Washington; and is a citizen/legal resident of the United State of America. 2. Petitioner has been known as ______________________________ for a period of ___________ and requests this court to change his/her name to ____________________________________ for the reason that: 3. A. This petition is not made to avoid creditors or for an illegal or fraudulent purpose, but for the bona fide purpose of changing the petitioner's name to the name by which he/she has been and prefers his/her name to be referred. B. I am not under the jurisdiction of the department of corrections. C. I am not required under RCW 9A.44.130 to register as a sex offender. WHEREFORE, petitioner requests that his/her name be changed by order of this court from __________________________________ to ___________________________________. ______________________________________ Petitioner STATE OF WASHINGTON ) ) ss. COUNTY OF CLALLAM ) __________________________, being first and duly sworn, upon oath, deposes and says that : I am the petitioner above-named and I have read the foregoing Petition for change of Name, know the contents thereof and believe the same to be true. ______________________________________ Petitioner Subscribe and sworn to before me this ____ day of ___________________ _______. ______________________________________ Notary Public in and for the State of ____________ Residing in ____________________________(city) My appointment expires:______________________ American LegalNet, Inc. www.USCourtForms.com
