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Amended Declaration Of Domestic Partnership - Florida
| Amended Declaration Of Domestic Partnership Form. This is a Florida form and can be used in General Palm Beach Local County . |
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Return to ___________________ ___________________ ___________________ AMENDED DECLARATION OF DOMESTIC PARTNERSHIP (To change the legal name of a partner already registered in a Domestic Partnership) I swear or affirm under penalty of perjury that: 1. 2. 3. I am a domestic partner registered in Palm Beach County, Florida. The registry number of my domestic partnership is ____________________. The undersigned's legal name was changed pursuant to the entry of a court order. The registration of domestic partnership should be amended to reflect my new name as follows: Partner Requesting Name Change: Name of Partner as indicated on original partnership registration: New Name of Partner as indicated on court order: I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment for making a false statement includes fines and/or imprisonment. Dated: ____________________________________________________ Signature of Party: Printed Name: Address: City, State, Zip: STATE OF FLORIDA COUNTY OF PALM BEACH Sworn or affirmed and signed before me on _________________________________ _________________________________ Notary Public or Deputy Clerk of Court __________________________________ [Print, type or stamp commissioner name of notary or clerk] _________ by dompar_amend_decl.doc 1/18/2006 American LegalNet, Inc. www.USCourtForms.com
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