Washington > Local County > King > District Court > Name Change
Petition For Name Change (individual) - Washington
| Petition For Name Change (individual) Form. This is a Washington form and can be used in Name Change District Court King Local County . |
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KING COUNTY DISTRICT COURT STATE OF WASHINGTON East Division, Bellevue Courthouse In re the Petition of: ) ) Current Name: ____________________________ ) First, Middle, Last NO. ____________________ PETITION FOR NAME CHANGE (Individual) My current legal name is ____________________________________ [legibly print full name]. First, Middle, Last I am applying for a court order which will change my current name to: _____________________________________________________ [legibly print full new name], First, Middle, Last and I make the following statements under penalty of perjury. 1. Are you currently a resident of King County, Washington? Yes No 2. Are you required to register as a sex offender? Yes No [Petitioner's failure to provide required notice to the King County Sheriff and Washington State Patrol is a crime. RCW 9A.44.130(8).] 3. Are you an offender under the jurisdiction of the Department of Corrections? Yes No [Petitioner's failure to provide required notice to DOC is a crime. RCW 4.24.130.] 4. Have you had a name change prior to this petition? Please explain. (Date, place, reason) ______________________________________________________________________ ______________________________________________________________________ 5. I request a change of name for the following reason(s). Please explain: ______________________________________________________________________ ______________________________________________________________________ 6. I declare that this name change petition is not made for any illegal or fraudulent purpose. 7. I declare that my name change will not be detrimental to the interests of anyone else. 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. Signed at __________________________, Washington, on _______________________. City Date ___________________________________ Petitioner's Signature Petitioner's Street Address Received: ______________________ Court Clerk Petitioner's City, State, Zip Revised 7/2010 American LegalNet, Inc. www.FormsWorkFlow.com
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