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Get VA CCR-A-160 2015-2021

Print Highlight Fields Clear All Data VIRGINIA FAIRFAX CIRCUIT COURT In the matter of the change of name of to CL No. - PETITION FOR CHANGE OF NAME COMES NOW the petitioner seeking a change of name pursuant to Virginia Code 8. 01-217 and respectfully states under oath as follows The petitioner currently resides in the County/City of. This change of name is not sought for any fraudulent purpose and will not infringe on the rights of another. The name of the petitioner is. The current address of the petitioner including street city and state of residence is is whose maiden name is and the petitioner s mother. and the place of birth of the petitioner is any court. Signature of Petitioner Daytime Phone Number IN THE COMMONWEALTH OF VIRGINIA COUNTY OF I the undersigned Deputy Clerk/Notary Public in and for the State of Virginia do hereby certify that before me appeared whose name is signed to the foregoing Petition and acknowledged the same under oath before me. Given under my hand and seal this day of Deputy Clerk/Notary Public CCR-A-160 5-6 REVISED July 2014 My Commission expires Notary Registration IN THE MATTER OF THE CHANGE OF NAME OF CL No* - FINAL ORDER her This day came the petitioner seeking to change his/her name. IT APPEARING to the Court that ADJUDGED ORDERED and DECREED that the name of the petitioner is hereby changed from and further Virginia Code 8. 01-217 shall spread this order upon the current deed book index it in both the old and new names and transmit a certified copy to both the State Registrar of Vital Statistics and the Criminal Records Exchange. 01-217 and respectfully states under oath as follows The petitioner currently resides in the County/City of. This change of name is not sought for any fraudulent purpose and will not infringe on the rights of another. This change of name is not sought for any fraudulent purpose and will not infringe on the rights of another. The name of the petitioner is. The current address of the petitioner including street city and state of residence is is whose maiden name is and the petitioner s mother. The name of the petitioner is. The current address of the petitioner including street city and state of residence is is whose maiden name is and the petitioner s mother. and the place of birth of the petitioner is any court. Signature of Petitioner Daytime Phone Number IN THE COMMONWEALTH OF VIRGINIA COUNTY OF I the undersigned Deputy Clerk/Notary Public in and for the State of Virginia do hereby certify that before me appeared whose name is signed to the foregoing Petition and acknowledged the same under oath before me. and the place of birth of the petitioner is any court. Signature of Petitioner Daytime Phone Number IN THE COMMONWEALTH OF VIRGINIA COUNTY OF I the undersigned Deputy Clerk/Notary Public in and for the State of Virginia do hereby certify that before me appeared whose name is signed to the foregoing Petition and acknowledged the same under oath before me. Given under my hand and seal this day of Deputy Clerk/Notary Public CCR-A-160 5-6 REVISED July 2014 My Commission expires Notary Registration IN THE MATTER OF THE CHANGE OF NAME OF CL No* - FINAL ORDER her This day came the petitioner seeking to change his/her name..

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