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Get Petition For Infant Name Change - Unified Court System - Courts State Ny

YORK COUNTY OF ss: (C ounty where notarized) I, , by this petition, alleges that (Insert your nam e) natural is the (Insert he or she) of the infant named herein, and resides at (Insert father or m other ) , (Street address) and further alleges that: (Insert C ity / Town / Village; State; Zip code) 1. Said infant's name is . (Insert infant s current nam e) 2. The name which said infant proposes to assume is (Insert nam e requested) . 3. Said infant resides at ,.

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