Arizona Legal Name Change Application Form

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Arizona Application to Change Your Name

Use this form to start the process of changing your name legally in Arizona. You will have to completely fill in the above form, file at the county court clerk’s office, and pay the required filing fee.

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02/01/00 nmapp.wpd 1 of 1
Name of Person Filing:
Your Address:
Your City, State, Zip:
Your Telephone Number:
Representing Self, Without an Attorney
IN THE SUPERIOR COURT OF ARIZONA, COUNTY
In the Matter of the Application of: )
) Case No.
)
) APPLICATION FOR CHANGE
) OF NAME FOR AN ADULT
Applicant )
1. Applicant , born at
, is a resident of
County and desires a change of name for the following reason:
2. Applicant ,
has has not been convicted of a felony. This application is made solely for
applicant’s best interests and will not operate to release applicant from any obligations applicant
has incurred or is under, or defeat or destroy any rights of property or action had in applicant’s
original name.
THEREFORE, applicant requests that the court enter an order that the present name of
, be changed to
.
The undersigned swears or affirms that the statements set forth above are true and correct, subject
to penalties of making a false affidavit or declaration.
Date Requesting Party02/01/00 nmorder.wpd 1 of 1
Name of Person Filing:
Your Address:
Your City, State, Zip:
Your Telephone Number:
Representing Self, Without an Attorney
IN THE SUPERIOR COURT OF ARIZONA, COUNTY
In the Matter of the Application of: )
) Case No.
)
) ORDER CHANGING NAME
) FOR AN ADULT
Applicant )
Applicant having filed an Application for Change of Name for an Adult, the court having fully
considered the matter,
THE COURT FINDS:
1. Applicant , born
at , .
2. Good cause exists to grant the application.
IT IS THEREFORE ORDERED that applicant’s name is changed from:
the present name of , to
.
IT IS FURTHER ORDERED that a birth certificate shall be issued showing applicant’s new
name.
Date Judicial Officer

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