Petition For Change Of Name
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Petition For Change Of Name Form. This is a Washington form and can be use in King Local County.
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Tags: Petition For Change Of Name, Washington Local County, King
King County District Court
State of Washington
South Division, Kent CH 4612-00001
In the Matter of the Petition of
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No. ____________________________
PETITION FOR CHANGE OF NAME
I am applying for a court order which will change my name from _________________________________
(Full Name)
to ____________________________________________________________________________.
(New Name Desired)
Yes
No Are you a resident of King County in the State of Washington?
Yes
No Are you a citizen of the United States?
Yes
No Are you required to register as a sex offender? (Petitioner’s failure to notify the
King County Sheriff and the Washington State Patrol of Petition for Name Change
is a misdemeanor RCW 4.24.130)
Have you been granted a name change before today?
The Petitioner requests the change of name for the following reasons:
____________________________________________________________________________________________
This application is not made for any illegal or fraudulent purpose.
The change of name will not be detrimental to the interests of any other person.
I declare under the penalty of perjury under the laws of the State of Washington that the foregoing
statements in this petition are true and correct.
Signed at __________________________________________, on __________________________
(City and State)
(Date)
________________________________
Petitioner Signature
__________________________________________
Court Clerk
KCDCF #64/98 rev 2006
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