Roll Of Attorneys Information Change Of Address Form
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Roll Of Attorneys Information Change Of Address Form. This is a Indiana form and can be use in Supreme Court Appellate.
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Tags: Roll Of Attorneys Information Change Of Address Form, Indiana Appellate, Supreme Court
Clerk of the Supreme Court, Court of Appeals, and Tax Court
STATE OF INDIANA
ROLL OF ATTORNEYS INFORMATION
AFFIDAVIT FOR NAME CHANGE
1. My current name and bar number for the Indiana Supreme Court Roll of Attorneys:
FIRST:
MIDDLE:
LAST:
BAR NUMBER:
2. Date of Marriage:
STATE:
COUNTY:
3. My new legal name (which is how my name will appear on the Indiana Supreme Court – Roll of Attorneys):
FIRST:
MIDDLE:
LAST:
VERIFICATION
I SWEAR OR AFFIRM, UNDER PENALTIES FOR PERJURY, THAT THE FOREGOING STATEMENTS ARE TRUE.
DATE:
SIGNATURE:
THIS FORM MAY NOT BE FAXED. AN ORIGINAL SIGNATURE MUST BE RECEIVED BY THE CLERK’S OFFICE.
Clerk of the Supreme Courts
Attn: Roll of Attorneys
402 West Washington Street, Room W062
Indianapolis, IN 46204
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