Nevada Affidavit of Petitioner Form
The Nevada Affidavit of Petitioner is a form that has to be signed in front of a public notary and filed with the county clerk’s office in the State of Nevada.
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1 AFPT 2 (yourname) ______________________ __ 3 (Address) 4 5 (Telephone) ____________________ _ 6 In Proper Person 7 DISTRICT COURT 8 9 In the Matter of the ) 10 Application of: ) CASE NO: ) 11 ) DEPT. NO. ) 12 for Change of Name ) ) 13 14 AFFIDAVIT OF PETITIONER 15 STATE OF NEVADA ) 16 ) ss: COUNTY OF ) 17 18 1. I, (your name) _______________________________ ., Petitioner, do solemnly 19 swear to testify herein to the truth, the whole truth and nothing but the truth. 20 21 22 23 24 25 That I am the Petitioner in the above-entitled case. That I live at ___________________________________ (city) _______________________________ Nevada, (zip code) ___________ . That I first moved to Nevada on (date) ___________________ . It is my intention to live in for the foreseeable future. 5. That I have read the Petition for Change of Name in this case and can testify that Clark County Family Law Self-Help Center December 10 , 2003 ALL RIGHTS RESERVED 1 adultillamechan.5af (# 5) Use only most current version Please call the Self-Help Center to confirm most current version 1 the allegations in the Petition are true and correct to the best of my knowledge. 2 6. That I request that the Court change my name from ___________ _ 3 ________________________________ to __________________________________ . 4 7. That I have not been convicted of a felony. 5 8. That I am not changing my name to avoid creditors or to commit a fraud. 6 Dated this (day) _______ day of (month) ___________ " (year) ____ . 7 (Your signature) ___________________________ _ 8 9 (Your name) 10 11 SUBSCRIBED and SWORN to before me this ___ day of 12 (month) , (year) _____ . 23 II I 24 II I 25 II I 2 adultillamechan.5af (# 5) Use only most current version Please call the Self-Help Center to confirm most current version
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