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Petition For A Change In Name By An Applicant For Citizenship AO 115 - Official Federal Forms
| Petition For A Change In Name By An Applicant For Citizenship Form. This is a national form and can be used in Administrative Office - Civil Federal District . |
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AO 115 (Rev. 01/09) Petition for a Change in Name by an Applicant for Citizenship UNITED STATES DISTRICT COURT for the __________ District of __________ PETITION FOR A CHANGE IN NAME BY AN APPLICANT FOR CITIZENSHIP Instructions to the Applicant for Citizenship: The Immigration and Nationality Act authorizes a United States district court to change the name of an applicant for citizenship at the same time that the court administers the oath of allegiance. The naturalization certificate will then show your new name. If you wish to change your name at the time of the naturalization ceremony, provide the following information: (1) My full name now is: (2) My place of residence is: (3) My country of birth is: (4) My date of birth is: (5) My alien registration number is: Petition to the Court: I certify that I am not seeking a change in name for any unlawful purpose, such as to avoid debt or evade law enforcement. I ask the court to change my name to: . . . . . Date: Petitioner's signature Certification of Name Change I certify that the court granted this change in name on (date) . Date: CLERK OF COURT Signature of Clerk or Deputy Clerk American LegalNet, Inc. www.FormsWorkflow.com
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