Free CHARLES BACARISSE - Texas


File Size: 38.8 kB
Pages: 1
Date: July 27, 2009
File Format: PDF
State: Texas
Category: Court Forms - Local
Author: ELAINE SCHEFFLER
Word Count: 121 Words, 1,446 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.hcdistrictclerk.com/common/FORMS/pdf/Application%20for%20Change%20of%20Name%20Certificate.pdf

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Preview CHARLES BACARISSE
LOREN JACKSON
HARRIS COUNTY DISTRICT CLERK

APPLICATION FOR CHANGE OF NAME CERTIFICATE

As provided in Section 45.106, Family Code, the undersigned person applies to the District Clerk for a change of name certificate. Cause Number: _________________________ Court Number: ____________________________ Driver's License Number: ____________________________________________________________ Social Security Number: _____________________________________________________________ Signature of Applicant: ______________________________________________________________

CHANGE OF NAME CERTIFICATE
Name of person before change of name was ordered: __________________________________________________________________________________

Name to which the person's name was changed by the court: __________________________________________________________________________________

DATE NAME CHANGE ORDERED: __________________________________________________ DRIVER'S LICENSE NUMBER: _____________________________________________________ SOCIAL SECURITY NUMBER: ______________________________________________________ I, LOREN JACKSON, Harris County District Clerk, hereby certify a name change was granted as reflected above.

________________________ Date

By: ___________________________________________ Deputy District Clerk

S:\FormsLib\Civil Bureau\Civ Fam Intake & Customer Svc\Customer Service\Application for Change of Name Certificate

Revised 11/18/08