Petition For Name Change
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Petition For Name Change Form. This is a Pennsylvania form and can be use in Lehigh Local County.
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Tags: Petition For Name Change, Pennsylvania Local County, Lehigh
IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA
CIVIL DIVISION
:
IN RE:
CHANGE OF NAME
:
: File No.
:
PETITION FOR NAME CHANGE
The Petitioner(s), ________________________________________, requests that this
Court order a change of name for ___________________________________________and in
support thereof represents as follows:
1. Petitioner(s) is an adult individual, whose date of birth is ___________________,
and who presently resides at ____________________________________________________,
in the County of ___________________________.
2. Petitioner(s), also requests the Court to change the names of _________________
_____________________________________________, minor child/children whose date(s) of
birth is/are ______________________________________, and who is/are residing with the
Petitioner at the above address.
3. Petitioner(s) desires this change of name for the following reason(s):
Rev 3/30/2009
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4. Petitioner is a citizen of the United States of America.
5. There are no judgments or decrees pending against the petitioner.
6. WHEREFORE, Petitioner respectfully requests that this Court enter an Order
changing the name of Petitioner from _____________________________________________
to ________________________________________________________________________.
7. WHEREFORE, Petitioner respectfully requests that this Court enter an Order
changing the name of minor child/children from ___________________________________
to __________________________________________________________________________.
Respectfully submitted,
__________________________________
Petitioner(s)
Telephone Number___________________
Rev 3/30/2009
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