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Petition For Change Of Name (No Previous Change) CCR A-160 5-6 - Virginia
| Petition For Change Of Name (No 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 CIRCUI T 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 seeking a change of name pursuant to Virginia Code 8.01-217 and respectfully states under oath as follows: The petitioner currently resides in the County/City of . The petitioner desires 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 petitioner is . The current address of the petitioner, including street, city and state of residence is . The petitioners father is and the petitioners mother is , whose maiden name is . The petitioners date of birth is , and the place of birth of the petitioner is . The petitioner has no felony conviction record, and is not currently incarcerated or a probationer with any court. The petitioner has never previously had a change of name. Signature of Petitioner Daytime Phone Number 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 is 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 5-6 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 FINAL ORDER This day came the petitioner, seeking to change their name. IT APPEARING to the Court that: The current address of the petitioner, including street, city and state of residence is ________________________________________________________________________ ____. The petitioner has never previously had a change of name. ADJUDGE D, ORDERED and DECRE ED that the name of the petitioner 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 of Petitioner(s) American LegalNet, Inc.CCR A-160 5-6 July 2003 www.USCourtForms.com
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