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					CAUSE NO. _______________________

IN THE MATTER OF THE MARRIAGE OF ____________________________________ AND _____________________________________ AFFIDAVIT OF PARTY REQUESTING NAME CHANGE COUNTY OF DALLAS BEFORE ME, the undersigned authority, on this day personally appeared

IN THE _______________

DISTRICT COURT OF

DALLAS COUNTY, TEXAS

STATE OF TEXAS

___________________________________________________, Petitioner in the above named and numbered cause, who being by me duly sworn, on oath stated: “My name is __________________________________________________. I am the Petitioner in the above named and numbered cause. I have personal knowledge of the facts stated in this affidavit, and they are true and correct. I am a _______________________________________ _____________________________ adult. (Race) (Sex) My Social Security Number is _______________________________________________________. I have been a resident of Dallas County since the filing of the Original Petition. I have been issued a Texas Driver’s License Number: _____________________________________. I have never been arrested or charged with a criminal offense. The change of name requested is in my best interest and to my benefit and in the interest of the public. The name requested, _________________________________________________, is the name I had before I married the respondent. I am not asking for the resumption of my former name in order to attempt to evade any legal obligation. I want to resume the use of my former name because I (have children/have no children) with that name and I have been married to ________________________________________________ for ____________ years. I have demonstrated good cause for a name change. __________________________________________________ (Signature) Signed and Sworn to before me on the ___________ day of __________________________________, 20_______.

__________________________________________________ Notary Public, State of Texas


				
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posted:11/11/2009
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