Order Of Name Change (Adult)
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Order Of Name Change (Adult) Form. This is a Virginia form and can be use in Prince William Local County.
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Tags: Order Of Name Change (Adult), Virginia Local County, Prince William
V I R G I N I A:
IN THE CIRCUIT COURT OF PRINCE WILLIAM COUNTY
IN RE: NAME CHANGE
FROM: _____________________
TO:
_____________________
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LA No. _________________
ORDER OF NAME CHANGE
THIS MATTER comes before the Court on the Petition of
__________________________________________________ to change _____ name to
_____________________________________________; and
IT APPEARING to the Court that the Petitioner resides at ___________________
_________________________________________________________________; and
IT FURTHER APPEARING that the Petitioner’s name has not been changed
before; and it is therefore
IT FURTHER APPEARING that the Petitioner has previously changed ____
name to _________________________________________ as a result of marriage to
__________________________________________________; and it is therefore
IT FURTHER APPEARING that the Petitioner has previously changed ____
name from ______________________________________________________________:
and it is therefore
ADJUDGED, ORDERED, and DECREED, pursuant to Section 8.01-217 of the Code
of Virginia of 1950, as amended, that the name of ________________________________
be and hereby is changed to _________________________________________________;
and it is further
ORDERED that the Clerk of this Court shall spread this Order on the current
Deed Book of this Court, and shall send certified copies of this Order to the Department
of Vital Records and to the Central Criminal Records Exchange.
ENTERED this ____ day of ____________________, 20_____,
____________________________________
Judge
Prince William County Circuit Court
I ASK FOR THIS:
___________________________
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