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Petition For Change Of Name (Adult) Form. This is a Iowa form and can be use in District Court Statewide.
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Tags: Petition For Change Of Name (Adult), Iowa Statewide, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
IN THE IOWA DISTRICT COURT FOR _________________________COUNTY
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
IN RE THE NAME CHANGE OF:
_________________________________
)
)
)
)
)
:
No. _________________________
:
PETITION FOR CHANGE OF NAME
:
(Adult)
Defendant(s)
:
......................................................
COMES NOW petitioner and for his/her petition under Iowa Code Chapter 674,
states:
THE PEOPLE OF THE STATE OF NEW YORK
1. Petitioner’s present name is ____________________________________________
TO
and she/he resides in _____________________________________ County, Iowa.
2. Petitioner is ___________ feet, ________ inches tall; weighs __________ lbs.; has
GREETINGS:
___________ color hair; and _______________ color eyes.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable Petitioner is a __________________________(race) _____________(female/male)
at the
Court
3.
located at
County of
who
in room was born ,in _____________________________at
on the
day of
, 20
, (place) on __________________ (date). recessed
o'clock in the
noon, and at any
or adjourned date, to testify and give evidence as a witness in this action on the part of the
4. Petitioner owns the following real estate in Iowa (set out legal description):
___________________________________________________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the ___________________________________________________________________________
party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
5. Petitioner currently resides at ___________________________________________
Witness, Honorable
, and the resided the
_______________________________________________________ one of has Justices ofat the
Court in
County,
day of
, 20
following addresses during the past five years: _____________________________________
___________________________________________________________________________
(Attorney must sign above and type name below)
___________________________________________________________________________
___________________________________________________________________________.
Attorney(s) for
6. Petitioner is (check) _____ unmarried or _____ married.
7. Petitioner desires a name change for the following reasons: __________________
Office and P.O. Address
___________________________________________________________________________
___________________________________________________________________________.
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
Plaintiff(s)
8. Petitioner has not previously requested a name change pursuant to Iowa Code
chapter 674.
-against-
:
:
9. A certified copy of petitioner’s birth certificate is attached to this petition.
:
WHEREFORE, petitioner prays that the court enter an order changing petitioner’s
Defendant(s)
:
. . . name. from. _________________________________________________________________
.... .... .........................................
to ________________________________________________________________________ .
THE PEOPLE OF THE STATE OF NEW YORK
TO
___________________________________
Petitioner’s Signature
GREETINGS:
STATE OF IOWA, COUNTY OF ______________________________ ) ss.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable _________________________________________,Court first duly sworn upon
at the
I,
being
located in
County ofstate that I am the petitioner at the foregoing petition; that I have read and know the
oath,
in room
, petition, and that the allegations and at
day of
, 20
, statements contained therein areand atand recessed
o'clock in the
noon, true any
contents of saidon the
or adjourned date, to testify and give evidence as a witness in this action on the part of the
correct.
___________________________________
Your failure to comply with this subpoena is Petitioner’s as a contempt of court and will make you liable to
punishable Signature (observed by notary)
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Subscribed and sworn to before me this ______ day of _______________, 20____.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
__________________________________
Notary Public in and for the State of Iowa
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
