Alabama Name Change Petition Form
To apply for a new legal name in Alabama, the individual who wishes to change her/his name should complete this form and then submit it to the county court clerk’s office.
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Change of Name of Adult Petition State of _______________ County of ________________ Court _____________________________ Docket No. ________________________ Name of Petitioner(s): In re: Change of Name of Adult ________________________________ First Middle Last From: _______________________________ Previous Legal Name To: _________________________________ New Legal Name Petitioner(s) makes (make) the following declaration: I. Petitioner’s Birth Name: The petitioner’s name at birth was ______________________________________________________________ First Middle Last and until the date of this petition, the petitioner has always been referred to as this name or: _____________________________________________________________________ List Name(s) Petitioner has been known as (if any) II. Birth Date and Place: The petitioner was born on _____________________, Date In the City of _____________________, County of _______________________, City County State of _______________________. State III. Petitioner’s Residency: The petitioner’s official legal address is ________________________________________________________________ Street Address City of ________________, County of _________________, State of _________ City County State and has resided at this address for approximately _______ years. IV. New Name & Reason for Name Change: Petitioner seeks to change name to ________________________________________________________________ Petitioner’s New Legal Name for the following reason(s): ________________________________________________________________ V. Outstanding Judgments: The Petitioner does not have any outstanding judgments, has never been convicted of a crime, and is not involved in any pending legal actions. VI. Additional Declarations: In addition to the foregoing statements, the Petitioner(s) further declares ________________________________________________________________ Additional Declarations (if any) NOW, THEREFORE, the Petitioner(s) requests (request) that the court order the Petitioner's name changed as follows: From: ____________________________________________ Previous Legal Name To: ______________________________________________ New Legal Name Verification (Petitioner) I,_______________________________________________________________ Petitioner Legal Name affirm under penalty of perjury that I am the Petitioner in the foregoing Petition to Change Name of Adult and that all statements in this Petition are accurate to the best of my knowledge. _________________________________________""""""""""_______________________________"Signature"of"Petitioner"#1"""""""""""""""""""""""""""""""""""""""""""Date"" Notary Acknowledgement" State of ___________ County of ______________________________ Subscribed, Sworn and acknowledged before me by ______________________________, the Principal, and subscribed and sworn to before me by ______________________, witness, this ______________________ day of ________________________. ______________________________ Notary Signature Notary Public In and for the County of ______________________________ State of ______________________________ My commission expires: ______________________________ Seal
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