Free NAME CHANGE FOR AN ADULT - Arizona

NAME CHANGE FOR AN ADULT

PINAL COUNTY
TO MAKE A REQUEST FOR A CHANGE OF NAME FOR AN ADULT WHO HAS MINOR CHILDREN

INSTRUCTIONS AND FORMS
Provided as a Public Service by Kristi Youtsey Ruiz Clerk of the Superior Court
Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED CV Change of Name of Adult W/C Use most current version

PINAL COUNTY CLERK OF SUPERIOR COURT SELF SERVICE CENTER

APPLICATION FOR CHANGE OF NAME OF AN ADULT WITH MINOR CHILDREN
CHECKLIST
USE THE FORMS AND INSTRUCTIONS in this packet only if the following factors apply to your situation:
You want to ask the court to change your name, AND You are an adult 18 years or older,

AND You do have minor children.

NOTE: For information regarding name changes that can be obtained without going to court, or
to add a name to, or change a name on a birth certificate, please contact the Arizona Department of Health Services, Bureau of Vital Records at (602) 364-1237.

READ ME: It is very important for you to know that when you sign a court document, you may
be helping or hurting your court case. Before you sign any court document, or get involved with a court case, it is important that you see a lawyer to make sure you are doing the right thing.

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

PINAL COUNTY CLERK OF SUPERIOR COURT SELF SERVICE CENTER PROCEDURES: HOW TO FILE FOR A CHANGE OF NAME WITH THIS COURT FOR AN ADULT WITH MINOR CHILDREN STEP 1:
Use Black Ink Only. Keep Forms Neat & Clean. Do Not Fold Forms. Do Not Use Line Paper When Including Attachments
FILL OUT THE FORMS: Fill out the "Application for Change of Name for an Adult", "Civil Cover Sheet" and the "Notice of Hearing Regarding Application for Change of Name" (leave date, time and location blank).

STEP 2: STEP 3:

MAKE COPIES: Make 2 copies of the "Application for Change of Name for an Adult"

FILE THE PAPERS AT THE COURT: WHO: Who must file the "Application for Name Change of an Adult"? The adult, 18 years or older, seeking the name change, or their attorney, must file the papers. GO TO: GO TO THE CLERK OF COURT TO FILE YOUR PAPERS: The Court is open from 8am-5pm, Monday-Friday. You should go to the Court at least two hours before it closes. You may file your court papers at the following Superior Court locations: CASA GRANDE: Clerk of SuperiorCourt 820 E. Cottonwood Lane Building B Casa Grande, AZ 85122 (520) 836-1073 APACHE JUNCTION: Clerk of Superior Court 575 N. Idaho Road Suite 109 Apache Junction, AZ 85119 (480) 982-4166

FLORENCE: Clerk of Superior Court 971 Jason Lopez Circle Building A Florence, AZ 85132 (520) 866-5300 MAMMOTH: Clerk of Superior Court 118 Catalina County Complex Mammoth, AZ 85618 (520) 487-2928 FEES:

Please check with the Clerk's office for the current filing fee. The fee is payable to the Clerk of the Superior Court by cash, money order, visa or mastercard or personal check with proper identification. If the filing fee is a hardship and you think a fee deferral is appropriate, ask the staff at the Customer Service Counter for an Application for Fee Deferral before you file your Petition. Note: With the Application for Deferral, you must provide proof of income (copy of your last 2 most recent paystubs)

PAPERS: Give your original application and all copies to the Clerk along with the filing fee. Make sure the filing clerk conforms (stamps) all of your copies and returns them to you.

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

STEP 4:

SCHEDULE YOUR HEARING AT THE TIME OF FILING: After filing your application, the clerk will complete the "Notice of Hearing Regarding Application for Change of Name" to show the date (depending on your method of service), time, and place of your hearing. You must request copies of this form.

STEP 5:

NOTIFY ANY INTERESTED PARTY: WHO: You must notify your spouse, if you are married, about your request for name change and the scheduled hearing. If you are not married but have at least one minor child, you must also notify the other parent of your child(ren). HOW TO NOTIFY: If you know where the person lives, you can do one of the following: 1. IF THE PERSON AGREES WITH YOUR REQUEST ­ Give the person a stamped copy of your application and the "Notice of Hearing Regarding Application for Change of Name" that shows the date, time, and place of your hearing. Then, if the person agrees with your request, have the person complete the form entitled, "Consent of Parent to Name Change of an Adult and Waiver of Notice" and have it notarized. That document serves as your proof of notice. Bring the signed and notarized "Consent of Parent to Name Change of an Adult and Waiver of Notice" to the hearing. If you are married to someone other than the parent of your minor child(ren), and your spouse agrees with your request for a change of name, have your spouse complete the "Consent of Spouse to Name Change of an Adult and Waiver of Notice" and have it notarized. That document serves as your proof of notice. Bring the signed and notarized "Consent of Spouse to Name Change of an Adult and Waiver of Notice" to the hearing. 2. IF THE PERSON DOES NOT AGREE WITH YOUR REQUEST OR YOU ARE NOT SURE IF THE PERSON AGREES - Give the person a stamped copy of your application and the "Notice of Hearing Regarding Application for Change of Name" that shows the date, time, and place of your hearing. Then, have the person sign an "Acceptance of Service". That notarized form serves as the proof of notice. Bring the signed and notarized "Acceptance of Service" to the hearing; OR, Send a copy of your application bearing the Clerk's stamp and the "Notice of Hearing Regarding Application for Change of Name" showing the date, time, and place of hearing by certified mail/restricted delivery (return receipt requested). This must be done at least 30 days before the hearing. Proof of notice for this step is the card returned to you from the Post Office showing delivery. Bring the card and a completed "Affidavit of Service by Certified Mail" to the hearing. The person who should receive notice of the hearing must sign the return receipt. If you do NOT know where the person lives: A Notice of Hearing that shows the date, time, and place of your hearing must be published once in a newspaper of general circulation in Pinal County at least 14 days before the hearing. This is called notice by publication. If notice is by publication, you must complete a notarized statement explaining in detail what efforts you made to locate the person(s). Bring that statement with you to the hearing. The Court will not accept notification by publication unless diligent efforts have been made to locate the person for whom notification is required.

3.

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

STEP 6:

ATTEND THE HEARING: WHO: All adults who are requesting a name change MUST be present at the hearing. BRING: These documents are required for your hearing: · 2 copies of "Order Changing Name for an Adult" · Photo identification for any person(s) who requests the change of name · A Clerk stamped copy of all filed documents · Proof of Notice as described above in Step 5 · Divorce Decree (If applicable) · Prior Name Change orders (If applicable) · Proof of naturalization or resident alien status (If applicable) · Copy of Orders of Protection and/or Injunctions Against Harassment still in effect (If applicable) · If the person requesting the change of name is not a United States citizen, his/her passport or proof of immigration status must also be provided at time of hearing. AFTER THE HEARING: If the Judge grants the name change(s), the Order Changing Name will be signed and you will be directed the to Customer Service Counter to receive a conformed copy of the Order. You may need to purchase a certified copy of the Order to complete the change of name with other state and local government agencies. Please check with the Clerk's office for the current fee for purchasing a "Certified Copy" of the Order Changing Name. The fee is payable to the Clerk of the Superior Court by cash, money order, visa or mastercard

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

Name of Person Filing Document: Your Mailing Address: Your Telephone Number: Attorney Bar Number (if applicable): Self (Without Attorney) OR Attorney Representing

Petitioner

Respondent

IN THE SUPERIOR COURT OF ARIZONA PINAL COUNTY
CV
In the Matter of:
) ) ) )

2

APPLICATION FOR CHANGE OF NAME FOR AN ADULT [351]

Name of Applicant

STATEMENTS TO THE COURT, UNDER OATH
1. INFORMATION ABOUT ME, THE APPLICANT Name: Address: Date of Birth: County of Residence: Place of Birth: I ask that my name be changed to:

2.

3.

REASON FOR THIS REQUEST FOR CHANGE OF NAME , be changed to I request that the current name of for the following reason(s):

,

4.

ADDITIONAL STATEMENTS Yes No A. Has the applicant listed above been convicted of a felony? B. This application is made solely for the best interest of the person named above. It will not release the person from any obligations incurred or harm any rights of property or action in any original name. OATH AND VERIFICATION OF APPLICANT: ) ) ss.

STATE OF ARIZONA COUNTY OF PINAL

I, the Applicant, being duly sworn and under oath, state that I have read this Application. All the statements in the Application are true, correct, and complete to the best of my knowledge and belief. Applicant's Signature SUBSCRIBED AND SWORN TO before me this day of By My Commission Expires: Deputy Clerk/Notary Public 20 .

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

In the Superior Court of the State of Arizona In and For the County of PINAL Is Interpreter Needed?
Case Number CV Yes No
.

2
If yes, what language:
To the best of my knowledge, all information is true and correct. ___________________________________________________
Attorney / Pro Per Signature (If no attorney, YOUR Signature)

CIVIL COVER SHEET- NEW FILING ONLY
(Please Type or Print) Plaintiff's Attorney __________________________ Attorney Bar Number ________________________ Plaintiff's Name(s): (List all) ______________________________________ ______________________________________

Plaintiff's Address: ___________________________________________ ___________________________________________

(List additional plaintiffs on page two and/or attach a separate sheet). Defendant's Name(s): (List All) _______________________________ __________________________________________________ __________________________________________________

(List additional defendants on page two and/or attach a separate sheet)) Temporary Restraining Order Provisional Remedy OSC EMERGENCY ORDER SOUGHT: Election Challenge Employer Sanction Other _______________________________________ (Specify) RULE 8(i) COMPLEX LITIGATION DOES NOT APPLY. (Mark appropriate box under Nature of Action) RULE 8(i) COMPLEX LITIGATION APPLIES. Rule 8(i) of the Rules of Civil Procedure defines a "Complex Case" as civil actions that require continuous judicial management. A typical case involves a large number of witnesses, a substantial amount of documentary evidence, and a large number of separately represented parties. (Mark appropriate box on page two as to complexity, in addition to the Nature of Action case category).

NATURE OF ACTION (Place an "X" next to the one case category that most accurately describes your primary case.)
TORT MOTOR VEHICLE: C01 Non-Death/Personal Injury C02 Property Damage C03 Wrongful Death TORT NON-MOTOR VEHICLE: C13 Negligence C19 Product Liability - Asbestos C19 Product Liability ­ Tobacco C19 Product Liability ­ Toxic/Other C18 Intentional Tort C16 Property Damage C18 Legal Malpractice C18 Premises Liability C18 Slander/Libel/Defamation C18 Other (Specify)
Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

MEDICAL MALPRACTICE: C21 Physician M.D. C23 Hospital C22 Physician D.O. C24 Other CONTRACTS: C31 Account (Open or Stated) C32 Promissory Note C33 Foreclosure C34 Buyer ­ Plaintiff C34 Fraud C34 Other Contract (i.e. Breach of Contract) C34 Excess Proceeds ­Sale C34 Construction Defects (Resident/Commercial C34 six to Nineteen Structures C34 Twenty or More Structures

CV Change of Name of Adult W/C Use most current version

OTHER CIVIL CASE TYPES: C82 Eminent Domain / Condemnation C42 Forcible Detainer C43 Change of Name C44 Transcript of Judgment C45 Foreign Judgment C49 Quite Title C52 Forfeiture ­ Vehicle C53 Forfeiture - Cash C54 Forfeiture - Other C56 Election Challenge C58 NCC ­ Employer Sanction Action (ARS §23-212) C64 Injunction against Workplace Harassment C62 Injunction against Harassment C54 Civil Penalty C56 Water Rights (Not General Stream Adjudication) C56 Real Property C56 Sexually Violent Person (ARS §36-3704) C56 Minor Abortion

Special Action Against Lower Courts
C71 JP Civil Traffic C72 Municipal Civil Traffic C73 Civil Non-Traffic C74 Landlord - Tenant

UNCLASSIFIED CIVIL: C55 Administrative Review C60 Tax Appeal (All other tax matter must be filed in the AZ Tax Court) C46 Declaratory Judgment C48 Habeas Corpus C56 Landlord Tenant Dispute - Other C50 Restoration of Civil Rights (Federal) C56 Clearance of Records (ARS §13-4051) C56 Declaration of Factual Innocence C56 Declaration of Factual Improper Party Status C56 Vulnerable Adult (ARS §46-451) C56 Tribal Judgment C56 Structured Settlement (ARS § 12-2901) C56 Attorney Conservatorships (State Bar) C56 Unauthorized Practice of Law (State Bar) C56 Out-of-State Deposition Foreign Jurisdiction C56 Secure Attendance of Prisoner C56 Assurance of Discontinuance C56 In-State Deposition for Foreign Jurisdiction C56 Eminent Domain ­ Light Rail Only C56 Interpleader ­ Automobile Only C56 Delayed Birth Certificate (ARS §36-333.03) C56 Employment Dispute - Discrimination C56 Employment Dispute -Other C56 Other (Specify)

COMPLEXITY OF THE CASE If you marked the box on page one indicating that Complex Litigation applies, place an "X" in the box of no less than one of the following: Antitrust/Trade Regulation Construction Defect with many parties or structures Mass Tort Securities Litigation with many parties Environmental Toxic Tort with many parties Class Action Claims Insurance Coverage Claims arising from the above-listed case types A Complex Case as defined by Rule 8(i) ARCP Additional Plaintiff(s) ______________________________________________________________________________________ ______________________________________________________________________________________ Additional Defendant(s) ______________________________________________________________________________________ ______________________________________________________________________________________

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

Name of Person Filing Document: Your Mailing Address: Your Telephone Number: Attorney Bar Number (if applicable): Self (Without Attorney) OR Attorney Representing

Petitioner

Respondent

IN THE SUPERIOR COURT OF ARIZONA PINAL COUNTY
In the Matter of:
) ) ) )

CV

2

NOTICE OF HEARING REGARDING APPLICATION FOR CHANGE OF NAME

Name(s) of person(s) who request(s) name change

READ THIS NOTICE CAREFULLY. An important court proceeding that affects your rights has been scheduled. If you do not understand this Notice or the other court papers, contact an attorney for legal advice.

1.

NOTICE IS GIVEN that the Applicant has filed with the Court an Application for Change of Name. At the
hearing, the Court will consider whether to grant or deny the requested name change. If you wish to be heard on this issue, you must appear at the scheduled hearing.

2.

COURT HEARING. A court hearing has been scheduled to consider the Application as outlined below:

DATED:
(Month/Day/Year)

Applicant's Signature

THE COURT COMPLETES THE FOLLOWING SECTION

DATE: LOCATION: BEFORE THE HONORABLE

TIME:

DIVISION

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

Name of Person Filing Document: Your Mailing Address: Your Telephone Number: Attorney Bar Number (if applicable): Self (Without Attorney) OR Attorney Representing

Petitioner

Respondent

IN THE SUPERIOR COURT OF ARIZONA PINAL COUNTY
In the Matter of ) ) ) ) ) CV

2

CONSENT OF SPOUSE TO NAME CHANGE OF AN ADULT AND

WAIVER OF NOTICE

Name of Applicant

REQUIRED INFORMATION FROM SPOUSE, UNDER OATH:
1. INFORMATION ABOUT ME:
Name: Address: Telephone: Date of Birth: The applicant and I have at least one child in common.

2.

I have read the Application for Name Change and I consent to the other parent changing their name to:

3.

I waive notice of all further proceedings in this matter. OATH OF THE PARENT

STATE OF ARIZONA PINAL OF COUNTY

) )ss.

I have read, understood, and completed the above statements. Everything I have said is true and correct to the best of my knowledge, information and belief.

Signature SUBSCRIBED AND SWORN TO before me this day of 20 .

By My Commission Expires: Deputy Clerk/Notary Public

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

Name of Person Filing Document: Your Mailing Address: Your Telephone Number: Attorney Bar Number (if applicable): Self (Without Attorney) OR Attorney Representing

Petitioner

Respondent

IN THE SUPERIOR COURT OF ARIZONA
PINAL COUNTY
In the Matter of

) ) ) ) ) ) ss.

CV

2

AFFIDAVIT OF SERVICE BY CERTIFIED MAIL

Name of Applicant

STATE OF ARIZONA COUNTY OF PINAL
1.

I am familiar with the facts stated in this Affidavit, and I make this Affidavit to show that I have served copies of the "Application for Change of Name" and the "Notice of Hearing Regarding Application for Change of Name" on the person named below by certified mail/restricted delivery, return receipt requested. Person served (name of other party): Address where other party was served: Date of receipt by the other party:

2.

The Application and Notice listed above were received by the other party as shown by the receipt, the original of which is attached to this Affidavit on a separate piece of paper.

Signature

SUBSCRIBED AND SWORN TO before me this

day of

20

.

By My Commission Expires: Deputy Clerk/Notary Public

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version

IN THE SUPERIOR COURT OF ARIZONA PINAL COUNTY

In the Matter of

) ) ) ) )

CV

2

ORDER CHANGING NAME OF AN ADULT

Name of Applicant

THE COURT FINDS:
1. 2. 3. 4.
This case has come before this Court to Change the Name of the Applicant. This Court has jurisdiction to change the name of the Applicant. Good cause exists to grant the application for Change of Name. It is in the best interest of the Applicant to change his/her name as set forth below:

IT IS HEREBY ORDERED:
If the applicant was born in Arizona, the Office of Vital Records shall amend the birth certificate for ____________________________________ whose date of birth is ____________________ and whose place of birth is _______________________________ to reflect the new name of __________________________________________________________.
First Middle Last

This Order does not release the applicant named above from any obligations incurred or harm any rights of property or action in original name.

DONE IN OPEN COURT this

day of

20

Superior Court Judge/Special Commissioner

Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESERVED

CV Change of Name of Adult W/C Use most current version