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Petition For Name Change Form. This is a Tennessee form and can be use in Williamson Local County.
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Tags: Petition For Name Change, Tennessee Local County, Williamson
IN THE CIRCUIT COURT FOR WILLIAMSON COUNTY, TENNESSEE
IN RE:
___________________________________
DOCKET #_____________________
PETITION FOR CHANGE OF NAME
COMES NOW THE PETITIONER,__________________________AND FOR PETITION FOR
CHANGE OF NAME WOULD RESPECTFULLY STATE TO THE COURT AS FOLLOWS:
1. THE PETITIONER IS A RESIDENT OF WILLIAMSON COUNTY, TENNESSEE RESIDING
AT______________________________________________________________________________
2. THE NAME OF THE PETITIONER IS _________________________________________
SAID NAME BEING REFLECTED ON THE BIRTH CERTIFICATE PRESENTLY ON FILE WITH
THE DEPARTMENT OF VITAL STATISTICS FOR THE STATE OF _____________
3. THE PETITIONER IS ________YEARS OF AGE, HIS/HER DATE OF BIRTH BEING THE
_______DAY OF _______________________, 19______.
4. THE PETITIONER IS NOT SUFFERING UNDER ANY DISABILITY.
5. THE PETITIONER IS DESIROUS OF CHANGING HIS/HER NAME FROM:
________________________________ TO _______________________________________.
AS GROUNDS THEREFORE, THE PETITIONER STATES THAT HE/SHE WISHES THIS
NAME CHANGE BECAUSE OF: _________________________________________________
_____________________________________________________________________________.
6. THE PETITIONER WOULD STATE AND AVER THAT HE/SHE IS NOT SEEKING THIS
CHANGE OF NAME FOR ANY FRAUDULENT PURPOSES, NOR TO DEFEAT ANY CREDITORS,
NOT TO EVADE PROCESS, NOR ANY OTHER UNLAWFUL PURPOSE WHATSOEVER, AND
THAT HE/SHE IS THE PERSON FOR WHOM THE NAME CHANGE IS SOUGHT.
I, ________________________AFTER FIRST BEING DULY SWORN, MAKE OATH AND STATE
THAT I HAVE READ THE FOREGOING PETITION AND THE FACTS CONTAINED THEREIN
ARE TRUE TO THE BEST OF MY KNOWLEDGE, INFORMATION AND BELIEF.
__________________________________
PETITIONER
SWORN TO AND SUBSCRIBED BEFORE ME
THIS ______DAY OF ________________, 20___.
_________________________NOTARY PUBLIC
MY COMMISSION EXPIRES _______________.
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