rev.5/15/18 STATE OF NEW MEXICO COUNTY OF BERNALILLO SECOND JUDICIAL DISTRICT COURT No. IN THE MATTER OF THE PETITION OF 001001001001001001001001001001001001001001001001001001001001001001001001001001001001001001001001001001001 FOR CHANGE OF NAME NOTICE OF PETITION TO CHANGE NAME (ADULT) 001001 Print your full legal name. Resident of the City of , County of Bernalillo, State of Print the city in which you live. New Mexico has filed a Petition to Change Name in the Second Judicial District Court, Bernalillo County, New Mexico, wherein he/she seeks to change his/her name as follows: Current Name Proposed Name This Petition will be heard before the Honorable , District Judge, on the day of 20 , at the hour of am/pm, at the Bernalillo County Courthouse, 400 Lomas NW, Albuquerque, New Mexico. Respectfully submitted, Signature, Petitioner, pro se (sign your current name) Name: Mailing Address: Phone number American LegalNet, Inc. www.FormsWorkFlow.com