Application For Change In Name
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Application For Change In Name Form. This is a Virginia form and can be use in Supreme Court Statewide.
Tags: Application For Change In Name, Virginia Statewide, Supreme Court
IN THE SUPREME COURT OF VIRGINIA
In the Matter of:
Application for Change in Name
To the Honorable Chief Justice and Justices of the Supreme Court of Virginia
Your petitioner, ________________________________, respectfully represents that he/she
was duly licensed to practice law in the Commonwealth of Virginia on ___________________, and
that he/she qualified to practice law in this Honorable Court on ______________________.
Your petitioner further represents that his/her name was lawfully changed to
___________________________, by order dated ____________________, from the Circuit Court
of ___________________________, a copy/certified copy of which is attached hereto.
Wherefore, your petitioner prays that the official records of this Court be changed to show
that the petitioner's name is _________________________ rather than ______________________,
and further prays that your petitioner be permitted to practice law in this Commonwealth under the
name of ________________________________.
Respectfully submitted this _______ day of _______________________, 20______.
Fee $14.00 (includes new certificate; $10.00 if no certificate desired)
Return form to:
Supreme Court of Virginia
Supreme Court Building
Clerk's Office, 5th Floor
100 North 9th Street
Richmond, Virginia 23219
**PLEASE DO NOT STAPLE YOUR CHECK OR MONEY ORDER TO THE
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