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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

Extracted Text for Proper Search

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
Next: Instructions on How to Change Your Name in Georgia Form Previous: Idaho Notice of Hearing of Name Change Form
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