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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:________________________
Division:________________________
IN RE: THE NAME CHANGE OF
,
Petitioner.
PETITION FOR CHANGE OF NAME (ADULT)
I, , being sworn, certify that the following information is true:
| 1. | My complete present name is: . |
| I request that my name be changed to: . |
| 2. | I live in County, Florida, at , . |
| 3. | I was born on , in , County, , United States. |
| 4. | My father/parent's full legal name: . |
| My mother/parent's full legal name: . |
| My mother/parent's name before marriage, if applicable: . |
| 5. | I have lived in the following places since birth: |
Dates (to/from): -
Address:
| 6. | Family: |
| 7. | Former names: |
| 8. | Occupation: |
My occupation is:
I am employed at: ,
During the past 5 years, I have had the following jobs:
Dates (to/from): -
Employer:
Employers address:
| 9. | Business: |
The street address is: .
My position with the business is: .
I have been involved with the business since: .
| 10. | Profession: |
I have practiced this profession:
Dates (to/from): -
Place:
Address:
| 11. | Education: |
| 12. | Criminal History: |
| 13. | Bankruptcy: |
| 14. | Creditor(s)' Judgments: |
| 15. | Fingerprints |
A copy of my fingerprints taken by a law enforcement agency is attached to this petition.
| 16. | I have no ulterior or illegal purpose for filing this petition, and granting it will not in any manner invade the property rights of others, whether partnership, patent, good will, privacy, trademark, or otherwise. |
| 17. | My civil rights have never been suspended, or, if my civil rights have been suspended, they have been fully restored. |
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 knowingly making a false statement includes fines and/or imprisonment.
Dated: ______________________________
________________________________________
Signature of Petitioner
Printed Name:
Address:
City, State, Zip: , Florida,
Telephone Number:
STATE OF FLORIDA
COUNTY OF___________________
The foregoing instrument was acknowledged before me, by means of ☐ physical presence or ☐ online notarization, this _____ day of ____________________, ______ by _________________________, who is personally known to me or who has produced ________________________________ as identification.
____________________________________
| ______Personally known | NOTARY PUBLIC or DEPUTY CLERK |
______Produced identification
| Type of identification produced | ____________________________________ |
| _____________________ | [Print, type, or stamp commissioned name of |
notary or deputy clerk.]
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:________________________
Division:________________________
IN RE: THE NAME CHANGE OF
,
Petitioner.
FINAL JUDGMENT OF CHANGE OF NAME (ADULT)
This cause came before the Court on _________________________, for a hearing on Petition for Change of Name (Adult) under section 68.07, Florida Statutes, and it appearing to the Court that:
| 1. | Petitioner is a bona fide resident of County, Florida; |
| 2. | Petitioner's request is not for any ulterior or illegal purpose; and |
| 3. | Granting this petition will not in any manner invade the property rights of others, whether partnership, patent, good will, privacy, trademark, or otherwise; it is |
ORDERED that Petitioner's present name, , is changed to , by which Petitioner shall hereafter be known.
ORDERED ON_________________ .
_____________________________________
CIRCUIT JUDGE
COPIES TO:
Petitioner
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When a name change in Florida is part of a marriage, divorce or adoption, the request is processed as part of that request.
Otherwise, changing your name in Florida is a different process. First create your Petition for Change of Name and get it notarized. Once it is notarized, file it with your county's clerk of the circuit court. When filing you will be required to submit fingerprints and agree to a statewide and nationwide criminal background check. Once you have received the results of the criminal background check, you need a court hearing to formally request your name change – some counties automatically assign court dates while others require you to request a date so consult with your circuit clerk regarding the process in your county. You may be required to attend the hearing. If so bring a valid ID and all supporting paperwork to prove that you meet the requirements of a name change in Florida.
