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Consent (Name Change) CIV-GP-82C - New York
| Consent (Name Change) Form. This is a New York form and can be used in Civil Court New York Local County . |
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Civil Court of the City of New York County of In the Matter of the Application of CONSENT for Leave to Change His/Her Name To Index Number STATE OF NEW YORK, COUNTY OF ss.: , being duly sworn, says: I am (over the age of eighteen) (fourteen years of age or over) and reside at I am (the Minor child) (the parent of the Minor child) (Spouse of the Petitioner) herein I have read the within Petition dated of name from I consent to such change. to , requesting a change Signature of Affiant in the presence of the Notary Sworn to before me this day of 20 Notary Public CIV-GP-82C (Revised October, 2003 American LegalNet, Inc. www.USCourtForms.com
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