Petition For Change Of Name Form With Instructions Page 2

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STATE OF ALABAMA
PROBATE COURT
JEFFERSON COUNTY
CASE NO._________________
PETITION FOR CHANGE OF NAME
TO: HONORABLE ALAN L. KING, JUDGE OF PROBATE and HONORABLE SHERRI C. FRIDAY,
JUDGE OF PROBATE:
NOW COMES, __________________________________________, whose date of birth is
____/_____/______whose Driver’s License/Non-Driver’s License ID number is____________________
from the State of _____________and Social Security number is _________________________________
and respectfully shows to the Court that he/she is over the age of nineteen years and is a bona fide resident
of Jefferson County, State of Alabama , whose address is:
____________________________________________________________________________________
(Street address only; no P.O. boxes)
City
State
Zip
WHEREFORE, in accord with the statues of the State of Alabama, the petitioner files this
declaration in writing, signed by him/her, requesting his/her name be changed as follows: (Choose one)
1) (Name on birth record, if never married)
Name changed from:_________________________________________________________
To: ______________________________________________, due to the following reason(s):
______________________________________________________________________
______________________________________________________________________;
OR:
2) (Married Name)
Name changed from:_____________________________________________________
To: ______________________________________________, due to the following reason(s):
_____________________________________________________________________
____________________________________________________________________;
OR:
3) (Other Reason)
Name changed from:______________________________________________________
To: ______________________________________________, due to the following reason(s):
_____________________________________________________________________
_____________________________________________________________________.
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