INSTRUCTIONS: VERIFIED PETITION FOR CHANGE OF NAME PS-34282-1

Apart from the Petition, an applicant also needs to fill out the questions at the beginning of the packet and the following forms:

· Appearance by Self-Represented Person in Civil Case TCM-TR3.1-2

· Notice of Filing Proof of Publication PS-34282-2

· Notice of Petition for Change of Name PS-34282-3

· Order on Verified Petition for Change of Name PS-34282-4

“Verified Petition for Change of Name PS-34282-1 Step 1”

In the first line of the Petition, provide your current legal name. Provide the same name in part 1.

“Verified Petition for Change of Name PS-34282-1 Step 2”

In part 2, provide your date of birth include month, day, and year. In part 3, provide your driver’s license number of Indiana identification card number.

“Verified Petition for Change of Name PS-34282-1 Step 3”

In part 4, provide your mailing address. If your residence address is different, provide the separate address below as well.

“Verified Petition for Change of Name PS-34282-1 Step 4”

If you’ve had different names in the past, provide these names in part 5. Leave the section blank if you had no previous names.

“Verified Petition for Change of Name PS-34282-1 Step 5”

In part 6, provide a form of identification that you will bring with your to the hearing in order to prove you’re a US citizen. A birth certificate or social security card will suffice.

“Verified Petition for Change of Name PS-34282-1 Step 6”

In part 7, you need to state that you have never been convicted of a felony. You cannot apply for a name change if you’ve been convicted of a felony in the state of Indiana or the United States.

“Verified Petition for Change of Name PS-34282-1 Step 7”

In part 11, state your reasons for wanting to change your name. In part 12, provide your new name. Sign the form in front of Circuit Court Clerk.

“Verified Petition for Change of Name PS-34282-1 Step 8”

After completing the rest of the forms, make copies of all the forms and bring the forms to the Circuit Clerk. There will be filing fees, and these fees will range from district to district. You need to publish the Notice in a local newspaper for at least 3 consecutive weeks, and the last publication must be at least 30 days before the hearing.