Indiana Name Change Forms – How to Change Your Name in INIndiana Name Change Forms – How to Change Your Name in IN
Download the document to the computer for easy use
There are more pages to preview,Read on

STATE OF INDIANA
COUNTY OF

)
IN THE
) SS:
)
CASE NO.

CIRCUIT COURT

IN RE THE NAME CHANGE OF: )
)
)
)
Petitioner.
)

VERIFIED PETITION FOR CHANGE OF NAME
Petitioner, ________________________________________________, pro se, respectfully petitions
this court to change his/her name. In support of this Petition, Petitioner states as follows:
1.

That my current name is: ______________________________________.

2.

That my date of birth is: _______________________________.

That my Indiana driver’s license number/Indiana identification card number is
3.
______________________________; and I will bring my Indiana driver’s license or identification card
to my Change of Name Hearing for verification.
4.

That my mailing address is: ________________________________________________
________________________________________________

And, if different, my residence address is: ________________________________________________
________________________________________________.
The following is a li