Form NHJB-2319-F "Petition for Name Change Relating to Family Division Jurisdiction" - New Hampshire

What Is Form NHJB-2319-F?

This is a legal form that was released by the New Hampshire Judicial Branch - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2011;
  • The latest edition provided by the New Hampshire Judicial Branch;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NHJB-2319-F by clicking the link below or browse more documents and templates provided by the New Hampshire Judicial Branch.

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Download Form NHJB-2319-F "Petition for Name Change Relating to Family Division Jurisdiction" - New Hampshire

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Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Name change of
Case Number:
(if known)
P ETITION FOR CHANGE OF NAME related to FAMILY DIVISION JURISDICTION
for
ADULT
MINOR
(pursuant to RSA 490-D:2, X)
1.
The petitioner is filing this name change request with the Family Division because the request
relates to the following type of case (check all that apply):
Divorce
Parenting Petition
Petition for Paternity
Annulment
Petition for Support
Domestic Violence Petition
Guardianship
Abuse and Neglect
Delinquency/CHINS
Adoption
Termination of Parental Rights
List Court Name(s)
,
Case Name(s)
and
Case Number(s)
of the
related case(s).
Note: If the name change request DOES NOT relate to one of the case types above, the
petitioner should file for a name change with the Probate Division.
2.
The petitioner requests that the name
(First, middle and last names)
be changed to
in accordance with
(First, middle and last names)
the laws of the State of New Hampshire and for the following reasons:
3.
Petitioner Name
Telephone
Mailing Address
4.
Minor Name (if applicable)
Telephone
Mailing Address
Relationship of petitioner to minor
NHJB-2319-F (07/01/2011)
Page 1 of 3
Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Name change of
Case Number:
(if known)
P ETITION FOR CHANGE OF NAME related to FAMILY DIVISION JURISDICTION
for
ADULT
MINOR
(pursuant to RSA 490-D:2, X)
1.
The petitioner is filing this name change request with the Family Division because the request
relates to the following type of case (check all that apply):
Divorce
Parenting Petition
Petition for Paternity
Annulment
Petition for Support
Domestic Violence Petition
Guardianship
Abuse and Neglect
Delinquency/CHINS
Adoption
Termination of Parental Rights
List Court Name(s)
,
Case Name(s)
and
Case Number(s)
of the
related case(s).
Note: If the name change request DOES NOT relate to one of the case types above, the
petitioner should file for a name change with the Probate Division.
2.
The petitioner requests that the name
(First, middle and last names)
be changed to
in accordance with
(First, middle and last names)
the laws of the State of New Hampshire and for the following reasons:
3.
Petitioner Name
Telephone
Mailing Address
4.
Minor Name (if applicable)
Telephone
Mailing Address
Relationship of petitioner to minor
NHJB-2319-F (07/01/2011)
Page 1 of 3
Case Name: Name change of
Case Number:
PETITION FOR CHANGE OF NAME
5.
Attorney Name (if applicable)
Telephone
Mailing Address
PLEASE COMPLETE THE FOLLOWING INFORMATION AS IT APPLIES TO THE PERSON
WHOSE NAME IS BEING CHANGED.
6.
Town of residence
7.
Date of birth
Place of birth
8.
If minor, name of mother
Mailing Address
9.
If minor, name of father
Mailing Address
10. If minor, name of guardian(s), if any
Mailing Address
11. Check the following paragraphs that apply to the person whose name is being changed.
I am a person who is serving a prison sentence, or who is on probation or parole, and I
certify that I have sent a copy of this petition to the department of corrections as required by
law. I understand that failure to comply with notification requirements shall cause any
decree hereunder to be null and void.
I am a person who is required to register as a sexual offender or an offender against
children pursuant to RSA 651-B, and I certify that I have sent a copy of this petition to the
department of safety or other agency as required by law. I understand that failure to comply
with notification requirements shall cause any decree hereunder to be null and void.
Neither of the above paragraphs is applicable to this name change.
12. I authorize the court to conduct a criminal record check on my current name and any previous
names I have used, or to conduct a criminal record check on any names used by the person
whose name I am seeking to change, by submitting the attached Criminal Record Release
Authorization Form.
Date
Petitioner Signature
State of
, County of
This instrument was acknowledged before me on
by
My Commission Expires
Affix Seal, if any
Signature of Notarial Officer / Title
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NHJB-2319-F (07/01/2011)
Page 2 of 3
Case Name: Name change of
Case Number:
PETITION FOR CHANGE OF NAME
ORDER
The above petitioner has sworn before the judge/master that the facts are true to his/her best
knowledge and belief. Accordingly, the court orders that:
Petition is granted.
Petition is denied.
Recommended:
Date
Signature of Marital Master
Printed Name of Marital Master
So Ordered:
I hereby certify that I have read the recommendation(s) and agree that, to the extent the marital
master/judicial referee/hearing officer has made factual findings, she/he has applied the correct legal
standard to the facts determined by the marital master/judicial referee/hearing officer.
Date
Signature of Judge
Printed Name of Judge
NHJB-2319-F (07/01/2011)
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