Alaska Name Change Petition Form
To legally change one’s name in the State of the Alaska, interested individual must submit this form to the County Court Clerk’s office. A filing fee of $150.00 must also be paid by the applicant.
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CIV -700 (2/1 3)(cs) Civil Rule 84 PETITION FOR CHANGE OF NAME AS 09.55.010 IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Change of Name for: ) ) ) , ) CASE NO. CI Petitioner (current legal name) ) Date of Birth ) ) PETITION FOR CHANGE OF NAME I, the petitioner, request that the Court enter a jud gment changing my name as follows: 1. My current legal name is First Name Middle Name Last Name 2. I want to take and be legally known by a new name, which is : First Name Middle Name Last Name 3. The reasons for this request for a change of name are: 4. I ask for this name change for personal reasons and not to avoid judgments, debts, obligations, or to defraud any person. The reasons stated are consistent with the public interest. VERIFICATION I state on oath or affirm that I read this docum ent and believe all statements in it are true. Date Petitioner’s Signature Mailing Address City State ZIP Daytime Phone Email Address Subscribed and sworn to or affirmed before me at , Alaska on . (Date) (SEAL) Clerk of Court, Notary Pu blic or other person authorized to administer oaths. My commission expires
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