Iowa > Statewide > District Court > Civil
Petition For Change Of Name (Adult) - Iowa
| Petition For Change Of Name (Adult) Form. This is a Iowa form and can be used in Civil District Court Statewide . |
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IN THE IOWA DISTRICT COURT FOR _________________________COUNTY ) IN RE THE NAME CHANGE OF: ) No. _________________________ ) _________________________________ ) PETITION FOR CHANGE OF NAME ) (Adult) COMES NOW petitioner and for his/her petition under Iowa Code Chapter 674, states: 1. Petitioners present name is ____________________________________________ and she/he resides in _____________________________________ County, Iowa. 2. Petitioner is ___________ feet, ________ inches tall; weighs __________ lbs.; has ___________ color hair; and _______________ color eyes. 3. Petitioner is a __________________________(race) _____________(female/male) who was born in _____________________________ (place) on __________________ (date). 4. Petitioner owns the following real estate in Iowa (set out legal description): ______________________________________________________________________________________________________________________________________________________ 5. Petitioner currently resides at ___________________________________________ _______________________________________________________ and has resided at the following addresses during the past five years: _____________________________________ ______________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________. 6. Petitioner is (check) _____ unmarried or _____ married. 7. Petitioner desires a name change for the following reasons: __________________ ___________________________________________________________________________ ___________________________________________________________________________. <<<<<<<<<********>>>>>>>>>>>>> 2 8. Petitioner has not previously requested a name change pursuant to Iowa Code chapter 674. 9. A certified copy of petitioners birth certificate is attached to this petition. WHEREFORE, petitioner prays that the court enter an order changing petitioners name from _________________________________________________________________ to ________________________________________________________________________ . ___________________________________ Petitioners Signature STATE OF IOWA, COUNTY OF ______________________________ ) ss. I, _________________________________________, being first duly sworn upon oath, state that I am the petitioner in the fgooreing petition; that I have read and know the contents of said petition, and that the allegations and statements contained therein are true and correct. ___________________________________ Petitioners Signature (observed by notary) Subscribed and sworn to before me this ______ day of _______________, 20____. __________________________________ Notary Public in and for the State of Iowa
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