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Form CT PC-901 Application for Change of Name (Adult)

pc-901ar.pdf

Form Instructions

INSTRUCTIONS: APPLICATION FOR CHANGE OF NAME (Adult) PC-901

The necessary forms need filed at the Probate Court in the county where the applicant currently resides. An Affidavit Form PC-910 is also required along with this form. Make sure to bring two forms of identification with your while filing these forms.

“Application for Change of Name (Adult) PC-901 Step 1”

On the first lines of the form, provide your current legal name and the date of filing the application. In the lines below the first section, provide your current legal name and then the name you wish to change your current name to.

“Application for Change of Name (Adult) PC-901 Step 2”

In the next set of lines, provide your social security number and the name that appears on your birth certificate.

“Application for Change of Name (Adult) PC-901 Step 3”

On the next two lines, provide your present address and your main telephone number with area code. On the next line, specify how long you’ve lived at the current address.

“Application for Change of Name (Adult) PC-901 Step 4”

If there is a non-petitioning spouse, provide their full legal name and current address. If there is a co-petitioning spouse, have them fill out the next section of the document.

“Application for Change of Name (Adult) PC-901 Step 5”

In the third section, provide specific reasons why you’re wishing to change your name. If you try to change your name and cause fraud or deceit, your actions are punishable by law.

“Application for Change of Name (Adult) PC-901 Step 6”

At the bottom of the form, the petitioner needs to provide their signature and date of signature. If there is a co-petitioner, they need to provide their signature as well.

“Application for Change of Name (Adult) PC-901 Step 7”

After completing the forms, make copies and file them with the Court Clerk. There will be a filing fee of $150.00. If you are unable to pay the fee, you will have to fill out Form PC-184.

“Application for Change of Name (Adult) PC-901 Step 8”

A notice of the hearing is sent to all interested parties before the hearing takes place. Additionally, a notice of the application is forward to the Department of Public Safety before the hearing to make sure the applicant is not on the Sex Offender Registry.

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