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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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