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Alabama Adult Name Change Request Form

This document is a request form for an adult to change their legal name in probate court. It provides spaces for the applicant to fill in their current and requested new names, birthdate, address, and a short explanation for the name change. It also requires the applicant to declare they are not facing criminal charges or involved in other legal matters, have never been convicted of certain crimes, and are not changing their name for fraudulent purposes.

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43 views1 page

Alabama Adult Name Change Request Form

This document is a request form for an adult to change their legal name in probate court. It provides spaces for the applicant to fill in their current and requested new names, birthdate, address, and a short explanation for the name change. It also requires the applicant to declare they are not facing criminal charges or involved in other legal matters, have never been convicted of certain crimes, and are not changing their name for fraudulent purposes.

Uploaded by

Ally
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PS–12 Request to Change Name

Case Number: (the clerk fills this in)

8/08 (For An Adult)

In the Probate Court of (county):__________________________________________ County, Alabama

Your current name:


first middle last

To ask the court to change your name, you must fill out this form, and:
• Attach a certified copy of your birth certificate and a copy of your photo ID, and
• File your form and attachments in the same county where you live.

I declare that the following information is true:

q My current name is:


first middle last
w My address is:
street city state zip
e My phone numbers are (home): (work):

r My date of birth is (mm/dd/yyyy):

t My name at birth was:


first middle last
y I am an adult (19 or older), of sound mind, and live in (name of Alabama county):

u The attached copy of my photo ID is my (check one):  Driver’s license, #


 Non-driver’s photo, ID #:
i I ask the court to change my name because (explain why you want to change your name):

o I want my new name to be:


first middle last
a I also declare:
• I am not now facing criminal charges, nor am I involved in any other court case.
• I have never been convicted of a criminal sex offense (as defined in Alabama Code § 15-20-21),
a crime of moral turpitude, or a felony.
• I am not asking to change my name to avoid paying my debts or to commit fraud.
• I swear that all of the information I have provided above is complete and accurate.

I ask the court to grant this request and to issue an order changing my name.

Sign below in front of a notary:

Date:

Notary fills out below—


Sworn to and subscribed before me, the undersigned authority,
By (Print name of notary):
On this date: (Notary’s seal here)
/ /
Notary signs here Date notary’s commission expires

Rev. 8/08  2008 Alabama State Bar

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