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Petition For Change Of Name (Child Or Ward-Previous Change) CCR A-160 15-16 - Virginia
| Petition For Change Of Name (Child Or Ward-Previous Change) Form. This is a Virginia form and can be used in Civil Circuit Court Fairfax Local County . |
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V I R G I N I A IN THE CIRCUIT COURT OF FAIRFAX COUNTY In the matter of the change of name of At Law ____________ to PETITION FOR CHANGE OF NAME COMES NOW the petitioner(s) seeking a change of name for their child/ward pursuant to Virginia Code 8.01-217 and respectfully states under oath as follows: The child/ward currently resides in the County/City of . The petitioner(s) desire(s) a change of name for the following reasons: . This change of name is not sought for any fraudulent purpose and will not infringe on the rights of another. The name of the child/ward is . The current address of the child/ward, including street, city and state of residence is . The child/wards father is and the child/wards mother is , whose maiden name is . The child/wards date of birth is , and the place of birth of the child/ward is . The child/ward has no felony conviction record, and is not currently incarcerated or a probationer with any court. The child/ward has previously had a change of name or changes of name, as follows: . Signature(s) of Petitioner(s) Daytime Phone Number *****I f there are TWO petitioners, EACH Petitioners Signature must be notarized.***** IN THE COMMONWEALTH OF VIRGINIA, COUNTY OF : I, the undersigned Deputy Clerk/Notary Public in and for the State of Virginia, do hereby certify that before me appeared , whose name(s) is/are signed to the foregoing Petition, and acknowledged the same under oath before me. Given under my hand and seal this day of , . ______________________________________ ______________________________________ Deputy Clerk/Notary Public My Commission expires American LegalNet, Inc.CCR A-160 15-16 July 2003 www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 V I R G I N I A IN THE CIRCUI T COURT OF FAIRFAX COUNTY In the matter of the change of name of At Law ____________ to ORDER This day came the petitioner(s), seeking to change the name of their minor child/ward. IT APPEARING to the Court that: The current address of the child/ward, including street, city and state of residence is _______________________________________________________________________. The child/ward has previously had a change of name or changes of name, as follows: . ADJUDGE D, ORDERED and DECRE ED that the name of the child/ward is hereby changed from to , and further ADJUDGE D, ORDERED, and DECREED that the Clerk of this Court, pursuant to the provisions of Virginia Code 8.01-217 shall spread this order upon the current deed book, index it in both the old and new names, and transmit a certified copy to both the State Registrar of Vital Statistics and the Criminal Records Exchange. Entered this day of , . JUDGE I ASK FOR THIS: Signature(s) of Petitioner(s) American LegalNet, Inc. www.USCourtForms.comCCR A-160 15-16 July 2003
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