Petition For Change Of Name (Adult)
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Petition For Change Of Name (Adult) Form. This is a Maryland form and can be use in Circuit Court Statewide.
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Tags: Petition For Change Of Name (Adult), DR-60, Maryland Statewide, Circuit Court
IN THE MATTER OF:
IN THE
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Your Current Name
Street Address
CIRCUIT COURT
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FOR
City, State, Zip
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Civil No.:
Telephone
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FOR CHANGE OF NAME TO:
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New Name
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PETITION FOR CHANGE OF NAME
(Adult)
(DOM REL 60)
TO THE HONORABLE, THE JUDGE OF SAID COURT:
Petitioner,
to this Court:
, respectfully represents
Your Current Name
1. That I was born on
, in
Your Birthdate
and presently reside at
Your Birthplace - City, State, County
,
Present Address
2. That I was born
Your Birth Name
. (See copy of
attached birth certificate.)
My name has been changed to the following since birth for the following reasons:
(List any reasons why your name may have changed since birth, for example, marriage).
Name Changed To:
Reason:
I have attached any documents that changed my name officially.
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DR 60 (Rev. 9/2005)
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3.
Select one of the following:
I have never registered as a sexual offender; OR
I am or have previously been registered as a sexual offender under the following name:
Full Name as Registered
4.
I am requesting this change of name because:
5.
I wish to change my name to:
.
New Name
6.
I hereby certify that the above change of name is not requested for any illegal or
fraudulent purposes.
WHEREFORE, I respectfully request that the Court pass an Order changing my name
from
to
.
New Name
Current Name
I,
, solemnly affirm under the penalties of
Your Current Name
perjury, that the contents of the foregoing paper are true to the best of my knowledge,
information and belief.
Date
Your Signature
Your Name - Printed
Address
City, State, Zip
Telephone
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DR 60 (Rev. 9/2005)
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