Alaska Name Change Forms – How  to Change Your Name in AK
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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of the Change of Name for:
,

Petitioner (current legal name)
Date of Birth

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CASE NO.

CI

PETITION FOR CHANGE OF NAME

I, the petitioner, request that the Court enter a judgment changing my name as follows:
1.

My current legal name is
First Name

2.

Middle Name

Last Name

I want to take and be legally known by a new name, which is:
First Name

Middle Name

Last Name

3.

The reasons for this request for a change of name are:

4.

I ask for this name change for personal reasons and not to avoid judgments, debts,
obligations, or to defraud any person. The reasons stated are consistent with the public
interest.
VERIFICATION

I state on oath or affirm that I read this document and believe all statements in it are true.
Date

Petitioner’s Signature
Mailing Address
Daytime Phone

Subscribed and sworn to or affirmed before me at
on
.
(Date)
(SEAL)
CIV-700 (2/13)(cs)
PETITION FOR CHANGE OF NAME
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City

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