Consent (Name Change)
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Consent (Name Change) Form. This is a New York form and can be use in New York Local County.
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Tags: Consent (Name Change), CIV-GP-82C, New York Local County, New York
Civil Court of the City of New York
County of
Index Number
In the Matter of the Application of
CONSENT
for Leave to Change His/Her Name To
STATE OF NEW YORK, COUNTY OF
ss.:
, being duly sworn, says:
I am (over the age of eighteen) (fourteen years of age or over) and reside at
I am (the Minor child) (the parent of the Minor child) (Spouse of the Petitioner) herein
I have read the within Petition dated
of name from
, requesting a change
to
I consent to such change.
Signature of Affiant in the presence of the Notary
Sworn to before me this
day of
20
Notary Public
CIV-GP-82C (Revised October, 2003
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