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Maine Name Change Petition Form

If you want to legally change your name in the State of Maine, the Maine Name Change Petition Form has to be completed and submitted to your respective court clerk’s office.

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CN-1
          (Rev. 5/1/12)
STATE OF MAINE
 
_______________County Probate Court Docket No. ____________________
In Re: _____________________________________ Petition for Change of Name
(Adult) 18-A M.R.S. §1-701
Attorney for Petitioner, if any
___________________________________________
Name
___________________________________________
Address
___________________________________________
___________________________________________
Telephone Number ___________________________
Maine Bar Registration Number _________________
1.  Full legal name of petitioner (include middle name, if any): 
2.  Address and telephone number of petitioner (include physical address, if different):
3.  Date of birth of petitioner:
4.  Petitioner desires to change his/her name to (include middle name, if any):
5.  Petitioner desires to change his/her name for the following reasons:
Dated:  _______________________ __________________________________________________
Signature, Using Current Legal Name
__________________________________________________
If petitioner(s) is/are represented by an attorney, said attorney
Must also sign petition pursuant to Rule 11
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