Maryland Name Change Forms – How  to Change Your Name in MDMaryland Name Change Forms – How  to Change Your Name in MD
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IN THE MATTER OF:

IN THE

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Your Current Name

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Street Address

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CIRCUIT COURT
FOR

City, State, Zip

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Civil No.:

Telephone

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FOR CHANGE OF NAME TO:
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New Name

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PETITION FOR CHANGE OF NAME
(Adult)
(DOM REL 60)
TO THE HONORABLE, THE JUDGE OF SAID COURT:
Petitioner,
to this Court:

, respectfully represents

Your Current Name

1. That I was born on

, in

Your Birthdate

and presently reside at

Your Birthplace - City, State, County

,

Present Address

2. That I was born
Your Birth Name

. (See copy of

attached birth certificate.)
My name has been changed to the following since birth for the following reasons:
(List any reasons why your name may have changed since birth, for example, marriage).
Name Changed To:

I have attached any documents that changed my name officially.

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DR 60 (Rev. 9/2005)