Idaho Name Change Petition Form
The Name Change Petition is for the use of Idaho-based individuals seeking to apply for a legal name change. Along with the Notice of Hearing, this form must be submitted to the county clerk court’s office.Download
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PETITION FOR NAME CHANGE (Adult) PAGE 1 CAO NCA 1 -1 2/15 /2012 Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF IN RE: Legal N ame Case No. PETITION FOR NAME CHANGE (Adult) F ee Category: Filing Fee: I swear under oath: 1. My full legal name and current residence are listed above. 2. I was born on (date) , , in the city of , County of , State of . 3. a. My father is living. or My father is not living and the names and addresses of his closest blood relatives are: b. My mother is living. or My mother is not living and the names and addresses of her closest blood relatives are: 4. I want to c hange my name to because PETITION FOR NAME CHANGE (Adult) PAGE 2 CAO NCA 1 -1 2/15 /2012 5. The name change is not to avoid creditors or outstanding debts. I am not required to register as a convicted sexual offender under Chapter 83, Title 18, Idaho Code, or under the provisions of similar laws enacted by another state. WHEREFORE, I ask that a Deputy Clerk of the Court issue a Notice of Hearing in this case to be published for four (4) successive weeks in the , a newspaper printed in this County; the matter be heard, with the Court examining me under oath; and the Judge sign an Order changing my name as I have asked. Date: Typed/printed name Signature STATE OF IDAHO ) ) ss. County of ) SUBSCRIBED AND SWORN before me on this day of Notary Public for Idaho Residing at Commission expires
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