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Get the free Name Change Intake Form - pdx

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A document used for individuals seeking a legal name change, collecting personal information and confirming consent for name changes.
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How to fill out name change intake form

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How to fill out Name Change Intake Form

01
Obtain the Name Change Intake Form from the appropriate source, such as a court website or local government office.
02
Read the form instructions carefully to understand what information is required.
03
Fill in your current legal name at the top of the form where indicated.
04
Provide your personal details, including your date of birth, address, and contact information.
05
Select the reason for your name change from the provided options or write a brief explanation if necessary.
06
If applicable, provide any previous names you have used.
07
Sign and date the form to certify that the information provided is accurate.
08
Attach any required supporting documents, such as identification or proof of citizenship.
09
Submit the completed form to the designated office along with any required fees.

Who needs Name Change Intake Form?

01
Individuals who are seeking to legally change their name for personal, marital, or other reasons.
02
People who have undergone a significant life change, such as divorce or marriage.
03
Minors whose guardians wish to change their names.
04
Individuals needing to change their name due to safety concerns or personal preference.
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Original: File with the Clerk at 175 N.W. 1st Avenue, 12th Floor at the NEW FILINGS window and pay the filing fee of $401.00 (payable by cash, money order or credit card). The Clerk will explain how to have your fingerprints taken.
Use certified copies of marriage and divorce certificates or name change orders as proof to notify these federal and state agencies that you changed your name. Social Security card. Driver's license or state ID card. Tax returns. U.S. passport. Naturalization certificate and certificate of citizenship. Veterans benefits.
Accepted documents include a Birth Certificate, Passport, PAN Card, or any government-approved proof of DOB. Gazette notification, Marriage Certificate, Court Order, or other legal documents proving the necessity of the name change or you can refer UIDAI website to explore document list.
Change of name evidence: laminated documents change of name deed. marriage certificate. a civil partnership certificate.
Use certified copies of marriage and divorce certificates or name change orders as proof to notify these federal and state agencies that you changed your name. Social Security card. Driver's license or state ID card. Tax returns. U.S. passport. Naturalization certificate and certificate of citizenship. Veterans benefits.

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The Name Change Intake Form is a document used to initiate the legal process for changing one's name.
Individuals who wish to change their name for any legal reason are required to file the Name Change Intake Form.
To fill out the Name Change Intake Form, provide your current name, the desired new name, contact information, and any necessary identification or documentation as specified by the jurisdiction.
The purpose of the Name Change Intake Form is to formally request a change of name and to provide the court with necessary information to process the request.
The Name Change Intake Form must report personal details such as your current name, requested name, date of birth, residence address, and any legal reasons for the name change.
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