Form 15 - Affidavit In Support Of Nunc Pro Tunc Order Change Infant Name printable pdf download

Form 15 - Affidavit In Support Of Nunc Pro Tunc Order Change Infant Name

Affidavit in Support of Nunc Pro Tunc Order Change Infant Name(Form 15)

Affidavit

[1. Index No. & Year] Insert Index Number & the year it was purchased

[2. Fill in name(s)] Fill in the Petitioner name

[3. Fill in name(s)] Fill in the Current Infant Name

[4. Fill in name(s)] Fill in the New Infant Name

[5. Your name(s)] Your name

[6. Insert Justice’s Name from Order]

[7. Insert date from Order]

[8. Explain your reasons for the application.] Describe what you are asking

the court to do and why you did not comply with prior order

[9. SIGN YOUR NAME BEFORE NOTARY] Sign only before a notary public

[10. PRINT YOUR NAME] Your name

[11. Affidavit must be notarized] Document must be signed and notarized

Nunc Pro Tunc Order- Change of Name of Infant

[12. Index No. & Year] Insert Index Number & the year it was purchased

[13. Fill in name(s)] Fill in the Petitioner name

[14. Fill in infant current name]

[15. Fill in infant new name(s)]

[16.Your Name]

[17. Insert date your affidavit signed]

[18. Insert Justice’s Name from Order]

[19. Insert date from Order

Litigation Back (Last page of entire packet)

[20. Index No. & Year] Insert Index Number & the year it was purchased

[21. Fill in name(s)] Fill in the Petitioner name

[22. Fill in infant current name]

[23. Fill in infant new name(s)]

[24. Insert name of the papers submitted]

[25. YOUR SIGNATURE] Signature

[26. PRINT YOUR NAME] Your name

[27. YOUR ADDRESS] Your address

[28. CITY, STATE ZIP CODE] City State and Zip Code

[29. YOUR PHONE NUMBER] Your telephone Number

Form 15 - Affidavit In Support Of Nunc Pro Tunc Order Change Infant Name