Petition For Adult Name Change
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Petition For Adult Name Change Form. This is a Washington form and can be use in Thurston Local County.
Tags: Petition For Adult Name Change, Washington Local County, Thurston
DI STRI CT CO
URT FO THURSTO CO
N UNTY, W
ASHI NG N
I N THE M
ATTER of t he Change of Nam of
PETI TI O FO ADULT NAM CHANG
Petitioner is a resident of Thurston County, Washington. Petitioner does not seek this name change to defraud or
mislead any person. Petitioner declares further: (check all boxes that pertain to you)
I wish to change my name from: ________________________________________________________
Petitioner is currently under the jurisdiction of the Department of Corrections (DOC) and will submit a copy of
the Petition for Name Change to DOC at least five (5) days prior to this hearing.
Petitioner is subject to registration requirements as a sex offender and will submit a copy of this application to
the sheriff of petitioner’s county of residence and to the Washington State Patrol at least five (5) days prior to
photo ID is presented with this Petition.
This application is made for the following reasons:
I declare under penalty of perjury under the laws of the State of Washington that the foregoing statements in this petition are
true and correct and that I have checked all boxes that pertain to me.
(City and State)
(Print Petitioner’s Name)
A hearing on this Petition will be held on
[ ] am [ ] pm
Check calendars in the lobby for location of courtroom.
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