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Indiana [_] Utility Companies (phone, cable, gas, electric, internet, etc.) [_] Clubs or Memberships [_] Frequent-flyer cards [_] Legal Contracts and Wills Bank Accounts (checking accounts, savings accounts, etc.) [_] Voter Registration [_] Insurance (life, health, automobile, home or rental insurance, etc.) [_] Doctors, dentists, medical records, etc. passport. You may also wish to change your name with some or all of the following entities: [_] U.S. Post Office [_] Employer [_] 401K / IRAs / Keoghs / retirement plans [_] Credit Card companies [_]ocial security administration office near you. United States Department of State http://travel.state.gov/passport/forms_overview.html This link provides information on how to change your name on your age: http://s00dace.ssa.gov/pro/fol/fol-home.html Document: www.ssa.gov/replace_sscard.html These links provide information on how to change your name on your social security card, and how to find a smsdiv/27044.pdf This link provides information on how to change your name on your driver's license and car registration in the state of Indiana. Social Security Administration Indiana Offices search pdepartment for their records. If you were born in a different state, you may wish to contact an equivalent department of that state. Indiana Bureau of Motor Vehicles http://www.in.gov/icpr/webfile/forough the Indiana State Department of Health, Division of Vital Records, linked above. In any event, you may wish to send a copy of your certified Order on Verified Petition for Change of Name to that l Records http://www.in.gov/isdh/bdcertifs/bdcert.html If you were born in the state of Indiana, you may obtain a copy of your original birth certificate, or amend your existing birth certificate, thract information for those entities, is included in Appendix A. CONGRATULATIONS AND GOOD LUCK! Instructions-Name Change Kit 9 APPENDIX A Relevant Agencies Indiana State Department of Health - Vitahave received your certified Order, you may amend your personal documents to reflect your name change. This may take some time, so be patient! A list of agencies that you may wish to contact, and cont. Contact your local court to obtain a certified copy of this order, which will probably cost about $5 per copy. Instructions-Name Change Kit 8 Step 12. Changing your Personal Documents. After you fied Judgment. Several weeks after the court has received your affidavit, it will certify your Order on Verified Petition for Change of Name. This is the final official step of the name change processe court considers appropriate. In any event, be sure to provide notice of your name change to any organization or person specifically ordered by the court. C. FINISHING UP. Step 11. Getting your Certif your name change request. This may include such entities as the Immigration and Naturalization Service, the Selective Service System, a former spouse, the Bankruptcy Court or any other party that thther parties, as explained in Step 10. Step 10. Notify Additional Entities of Your Name Change. In connection with your application, the judge may require that you notify additional specific parties oons for a name change. If a hearing is held, the judge will probably sign the document at that time and grant your name change. In addition, he may order you to provide notice of your name change to oore suited to their personality. You should provide true and complete information about your request to the court. Do not worry that your reasons are inadequate: the courts do tend to accept most reasever, be prepare to explain why you want your name change. Some examples of why people have changed their names are reclamation of a birth name, reversion to an ancestral name or embracing of a name mor Change of Name. At the hearing, make note of and comply with all instructions given by the judge. Don't be nervous ­ the judge will guide you through any proceedings that do happen. You should, howe-stamped Petition, the Affidavit, the Notices, the proofs of publication, and any other items that you think might be needed. Also bring with you an original copy of your Order on Verified Petition fso, to confirm the date and time of that hearing. If there is a hearing, be sure that you know where the courtroom is and be certain to bring all relevant papers with you, including copies of your filou can be notified of the time and date of that hearing. Step 9. Attend Hearing, if necessary. You should contact your court to determine if a hearing will be held on your name change request and, if scussed in Step 4 will also be useful to you in this filing. Bring a selfaddressed, stamped envelope to court with you so that, if necessary, the court can mail the Notice of Hearing back to you and ying, copies of the newspaper ads, any additional documents given to you by your newspaper, as well as at least 3 copies of each of these documents, to the court with you to be filed. The procedures di Instructions-Name Change Kit 7 After the 30-day period has passed, bring your original Affidavit of Publication, Notice of Filing of Proof of Publication and Request for Hearing, the Notice of Heardays before filing your documents with the court. Do not overlook this 30-day period; if you file your documents before this period has passed, your petition may be delayed or rejected on this basis. fidavit of Publication and Notice of Filing of Proof of Publication and Request for Hearing With the Court. After your publication requirements have been completed, you must wait at least thirty (30) in the newspaper. This should be three items, one for each of the dates on which the notices ran. Be sure to make copies of all of these documents before bringing them in to be filed. Step 8. File Af they will give you to file with the court. Attach all required documentation to your Notice of Filing of Proof of Publication and Request for Hearing, including copies of each of the notices that ranred. Bring this document with you to the offices of the newspaper that published your notice, and ask them to complete and sign the remainder of the Affidavit. There may be additional information thatroof of Publication and Request for Hearing. After your publication run has ended, complete the information requested in the document asking for the dates on which publication of your notice has occuron. They may require additional information from you, and you should make every effort to comply with their additional instructions. Step 7. Complete Affidavit of Publication and Notice of Filing of Prdize your personal safety. If this is a concern for you, be sure to explain this to the judge at your hearing or, if there is no hearing, contact the clerk of your local court to explain your situatithey will need from you. NOTE: There is a possibility that you may be exempted from the publication requirements discussed, if the court determines that the publication of your name change might jeopaave forms that you may use to create this publication notice. You may want to contact your local newspapers to see if they have templates that they require, or if there is additional information that detail in Step 8 below. Different newspapers may require more time to process and complete your submission than others. If you wait too long, your name change request may be delayed. Many newspapers hange to publish a notice of your name change for the required period. Be sure to save a copy of each week's printing of your notice; you will need to file this with the court, as explained in greater st publish notice of your name change at least once a week for three consecutive weeks in a newspaper of general circulation in your county. Contact a newspaper in the county in which you live and arr your case, you can use this number to allow court personnel to assist you more efficiently. Step 6. Contact a Local Newspaper and Publish a Notice of Your Name Change. Pursuant to Indiana law, you muer that you will use for the duration of your time in court. If you have any questions about Instructions-Name Change Kit 6 the status of your name change request, or other specific questions aboutsible, additional instructions. Step 5. The court will assign a file number and establish a file. The "file number" is the number assigned to your request for a name change. This is the reference numbo you in one of the envelopes provided. Include at least two self-addressed and stamped envelopes with your documents, so that the clerk can return both a file-stamped copy of the forms and, where posed, the letter serves as a request to schedule that hearing. Additionally, you should ask that if one or both of the orders can be signed without a hearing, that the clerk return that executed order tt of all of the forms that you are submitting. Your letter should request that the court file the necessary forms and that the judge execute the order. You should also state that, if a hearing is needring in your documents, which will be about $104. Mail ­ If you decide to mail your forms, you should include a cover letter that explains that you are requesting a name change and that includes a lisiscussed below. You can contact your court in advance to determine where you will need to file the documents, or can ask at the courthouse. You will be required to pay the filing fee at the time you bave completed the first part of the filing of your request to change your name, it will not be official until the judge has signed your order and you have completed your publication requirements, as day provide additional directions specific to the court in which you are filing. In any event, you should listen carefully to the clerk's instructions and follow them precisely. NOTE: Even though you huments. Tell the filing clerk that you are filing a Petition for a Change of Name. The clerk will then take your original documents, and return to you a file-stamped copy for your records. The clerk myou are likely to find out about any defects in the documents you are filing. In Person ­ You should bring in the original copies of your completed forms, as well as at least three copies of those docnge of Name with your Circuit Court. You can file the forms in person, or you may mail in your completed documents. It is usually a better idea to go into court, as the process tends to be faster and word distribution on the lower left side of the document, print your current complete name, address, and phone number. B. GOING TO COURT. Step 4. File the Appearance and the Verified Petition for Chake sure that it is legible and correct. Instructions-Name Change Kit 5 DO NOT SIGN OR DATE THE SPACES ON THIS FORM. It is the judge's responsibility to sign this document. "Distribution." Under thein the space provided. Item 5. This blank is the point at which you provide your proposed name, that is, the name that you wish to adopt. Insert the complete name that you wish to have and check to ma of," you should insert your full current name. Item 1. In this item, insert your current complete name. Item 2. Provide your current complete address, including the street, city, state and zip code, e information in the same spaces as you did on your Petition. If you become confused, refer back to the instructions provided above. "In Re: The Change of Name of." In the blank, after the words "Namervice/forms/name_change/name_change_pdf.ZI P or http://www.findlegalforms.com/public/NAMECHG/INSTATE6.pdf Heading Box. This is a similar heading box as in the Petition for Name Change. Provide the sam on Verified Petition for Change of Name. This document is an order that will be signed by the court, confirming the completeness of your name change. Indiana State: http://www.in.gov/judiciary/selfseompleted by the judge at the appropriate time. "Distribution." Under the word distribution on the lower left side of the document, print your current complete name, address, and phone number. [_]Orderf." In the blank, after the words "Name of," you should insert your full current name. DO NOT COMPLETE ANY ITEMS IN THE CENTER OF THE PAGE AND DO NOT SIGN THIS DOCUMENT. As noted above, this will be ctition for Name Change. Provide the same information in the same spaces as you did on your Petition. If you become confused, refer back to the instructions provided above. "In Re: The Change of Name oate: http://www.in.gov/judiciary/selfservice/forms/name_change/name_change_pdf.ZI P or http://www.findlegalforms.com/public/NAMECHG/INSTATE5.pdf Heading Box. This is a similar heading box as in the Pe a time and a date for the final hearing on your name change. You do, however, have the responsibility to complete certain parts of this document and to submit it to the court to be signed. Indiana Stf the three notices with your Affidavit. Instructions-Name Change Kit 4 [_]Notice of Hearing. The Notice of Hearing is a document that will be fully filled out and signed by the judge, and will setaper and identify the individual who will assist you in completing this information. Make sure that he or she attaches a publisher's affidavit, and that you include copies of the printed run of each o THIS DOCUMENT. The Affidavit of Publication is to be completed and signed by an official representative of the newspaper that published your name change information. You must contact your local newsp, date, and year of the second publication of your notice in the newspaper. Item 3. In this blank, write the month, date, and year of the third publication of your notice in the newspaper. DO NOT SIGN the county in which the newspaper is published. Item 1. In this blank, write the month, date, and year of the first publication of your notice in the newspaper. Item 2. In this blank, write the monthent name. "In the." In the blank following these words, print the name of the newspaper that has been publishing the notice of your name change. In the following blanks, write the name of the city andu did on your Petition. If you become confused, refer back to the instructions provided above. "In Re: The Change of Name of." In the blank, after the words "Name of," you should insert your full currf.ZI P or http://www.findlegalforms.com/public/NAMECHG/INSTATE4.pdf Heading Box. This is a similar heading box as in the Petition for Name Change. Provide the same information in the same spaces as yoth the Notice of Filing Proof of Publication and Request for Hearing 30 days after the last date of publication. Indiana State: http://www.in.gov/judiciary/selfservice/forms/name_change/name_change_pdublication. The Affidavit of Publication is a statement by you affirming that you have met your publication requirements, and providing the details of your publication. You will file this, together wirrent full name. Signature. Sign the signature block on the document. In addition, you must print your current complete name, mailing address, and phone number below your signature. [_] Affidavit of P the words "Name of," you should insert your full current name. Instructions-Name Change Kit 3 Preamble. This section contains one blank, after the word Petitioner, in which you must insert your cu Provide the same information in the same spaces as you did on your Petition. If you become confused, refer back to the instructions provided above. "In Re: The Change of Name of." In the blank, afterjudiciary/selfservice/forms/name_change/name_change_pdf.ZI P or http://www.findlegalforms.com/public/NAMECHG/INSTATE3.pdf Heading Box. This is a similar heading box as in the Petition for Name Change.ur name change and asks that the court set a hearing to consider your petition. Do not forget to attach a copy of your published notice to this document as Exhibit A. Indiana State: http://www.in.gov/urt after 30 days have passed from the completion of your publication requirements, together with the Affidavit of Publication discussed below. This document confirms the publication of a notice of youst print your current complete name, mailing address, and phone number below your signature. [_]Notice of Filing Proof of Publication and Request for Hearing. This document is to be filed with the co not any of these items apply to you, you should do additional research or consult with an attorney before completing any forms. Signature. Sign the signature block on the document. In addition, you mferenced section of Indiana law, must not be seeking to defraud creditors by changing your name, and must not have been convicted of a felony in the last ten (10) years. If you are not sure whether orems require no action on your part, but in completing this form you are asserting under penalty of law that these are true statements for you. You therefore wish to change your name pursuant to the reu provide your proposed name, that is, the name that you wish to adopt. Insert the complete name that you wish to have and check to make sure that it is legible and correct. Item 3, 4, and 5. These itain, write your current complete name. Item 2. Provide your current complete address, including the street, city, state and zip code, in the space provided. Item 6. This blank is the point at which yohould insert your full current name. Preamble. Instructions-Name Change Kit 2 This section contains one blank, after the word Petitioner, in which you must insert your current full name. Item 1. Agned to your request by the court after you have completed your filing. The court will fill in this blank at a later time. "In Re: The Change of Name of." In the blank, after the words "Name of," you sone directory or on the Internet at http://www.in.gov/judiciary/trialcourts/clerks.html Do not be concerned with the "Case No." blank on the right side of the page. This is a number that will be assigof each of the forms, including the county in which you reside and in which you are filing your name change request. For a list of Indiana counties and county courts, you may look in your local telephttp://www.findlegalforms.com/public/NAMECHG/INSTATE2.pdf Heading Box/County Information. This is the box of text at the top of the page. You will be required to include similar information at the top ATE1.pdf [_]Petition for Name Change. This is your official request to the court to change your name. Indiana State: http://www.in.gov/judiciary/selfservice/forms/name_change/name_change_pdf.ZI P or hvided in the instructions to this form, linked below. Indiana State: http://www.in.gov/judiciary/selfservice/forms/name_change/name_change_pdf.ZI P or http://www.findlegalforms.com/public/NAMECHG/INSTr case, and will alert the court to any specifics of your case that will require additional action (e.g., the existence of any related cases). Detailed instructions on how to complete the form are pro by hand. [_] Appearance Form. This is a document that is required by the Indiana courts for each new case filed in its system. Essentially, the document is used as a summary of the basic facts of youd or may input the information incorrectly, causing your application to be delayed or rejected. You should check with your local circuit court to determine whether they will accept documents completedpleted by typewriter or by hand. If you are filling out the forms by hand, you should use black ink and print as legibly and as neatly as possible. The court may reject forms that are difficult to reang of Proof of Publication and Request for Hearing, the Affidavit of Publication, the Notice of Hearing, and the Order on Verified Petition for Change of Name. These Adobe Acrobat PDF forms may be comwill assist you in finding the appropriate division in which to file. Step 3: Filling Out the Forms. You must complete the Appearance Form, the Verified Petition for Change of Name, the Notice of Filiisted at the following website: Circuit Courts (links): http://www.in.gov/judiciary/trialcourts/clerks.html Instructions-Name Change Kit 1 Ask to speak with the clerk in your courthouse; he or she ave specific to your situation. To contact a clerk of a circuit court in your county you may locate its address and telephone number in your local telephone directory. You may also use the addresses lfile; (2) the filing fees for a name change in your county; (3) if there are any additional, non-standard forms needed for the county in which you live; and (4) any additional questions that you may h clerk to obtain additional details about your filing. Specifically, you will need to request information about the following: (1) the number of copies of the completed forms that you are required to ng, you may wish to contact an attorney for additional assistance. Step 2: Contact your Court's Clerk. Given the extreme rule variations between local courts, you will need to contact your local courtv/judiciary/selfservice/forms/name_change/name_change_instr.p df or http://www.findlegalforms.com/public/NAMECHG/INSTATEINSTR.pdf If you find any of this law or these instructions difficult or confusiistrict. This document is linked below. Be sure to review this document carefully, as this guide will probably answer any specific questions that you have about filing. Indiana State: http://www.in.goink: http://www.in.gov/legislative/ic/code/title34/ar28/ch2.html In addition, the state of Indiana has provided an instructional pamphlet that gives information about filing for a name change in its de beginning this process. The relevant law may be found at Indiana Code Section 34-28-2. You can locate these sections in either the law library of your local court, on the Internet at the following l this package are not complicated, but any inadvertent mistakes or omissions may delay your case, and could cause the court to reject your request. You should also review Indiana name change law beforshould read this package of instructions and information, as well as the instructions contained in the official forms, carefully before you begin completing any of the documents. The forms included inrious legal matters. Information-Name Change Kit 5 INSTRUCTIONS Indiana Petition for Change of Name -- Adult A. GETTING STARTED ­ COMPLETING THE FORMS Step 1: Read the Instructions Carefully. You theory of liability, whether in contract, strict liability or tort (including negligence or otherwise) arising in any way out of the use of these materials. An attorney should be consulted for all secial, exemplary or consequential damages (including, but not limited to, procurement of substitute goods or services, loss of use, data, or profits or business interruption), however caused and on any particular needs. The materials are used at your own risk. In no event will FindLegalForms, Inc., its agents, partners or affiliates be responsible or liable for any direct, indirect, incidental, spese" found at findlegalforms.com. These materials are provided "AS-IS." We do not give any express or implied warranties of merchantability, suitability or completeness of any of the materials for yourrney-Client relationship is created by use of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and use of these materials is subject to the "Disclaimers and Terms of Ubelow may be modified by the State of Indiana or its local courts from time to time, so you should check with your local clerk to ensure that the forms you are using are up to date. Disclaimer No Attoy reject forms that are difficult to read, or may input the information incorrectly; these mistakes may cause your request to be delayed or rejected. Information-Name Change Kit 4 The forms linked Change of Name. You should fill out the forms manually, either with a typewriter or by hand. If you are not using a typewriter, use black ink and print as legibly and neatly as possible. The court mappearance Form; Verified Petition for Change of Name; Notice of Filing of Proof of Publication and Request for Hearing; Affidavit of Publication; Notice of Hearing; and Order on Verified Petition for our name for fraudulent, illegal or other improper purposes. Materials This packet contains: 1. 2. 3. 4. 5. 6. 7. 8. Information for the Name Change Packet; Instructions for the Name Change Packet; Ae requesting a name change on behalf of someone else; Have been convicted of a felony in the last ten (10) years; Are in jail or prison; Are seeking a name change to avoid creditors; or Are changing yer the age of 18; A resident of the state of Indiana; and A resident of the county where you will file your petition. You may not use this packet if you: 1. 2. 3. 4. 5. 6. Are under the age of 18; Ar request, he will sign an order permitting you to assume your new name. In total, the entire process will probably take between 3 and 4 months. Requirements To use this packet you must be: 1. 2. 3. Ovaring. After that, you are required to publish notices of your name change in a local newspaper once a week for three weeks, and you will submit an Affidavit of Publication. If the judge approves your how long it will take to complete the name change process. After you have completed and filed your forms, it may take several weeks before the court has signed an order that fixes the date of your heof agencies that you may need to contact is attached as Appendix A. Information-Name Change Kit 3 How long will it take before my name is officially changed? It is difficult to state with certaintyrds change automatically? No. You must contact the appropriate agencies, and inform them of your name change. You may show them the certified Order issued by the court as proof of that change. A list t, you should continue to use your old name in any official capacity. After I have received the order granting my name change, will my driver's license/birth certificate/social security card/credit cafiled my request for a name change, can I start using my new name? No. Your request for a name change is simply that: a request. Until the judge has signed and certified the order granting your requesotification of and consent to your name change to additional entities. If this describes your situation, you may not use this package and should consult an attorney for more information. After I have been convicted of a felony offense in the past 10 years, or are currently incarcerated or on parole, there are certain special steps that must be taken before a name change can take place, including nchange; you must be 18 years of age or older and filling out the form for yourself alone to make use of the forms attached here. If I was convicted of a crime, can I still change my name? If you have family to change the names of your entire family or to complete a separate name change request for that child. You may not use this package to file a family petition or to complete your child's name y use this package to change your name at this time. If I change my name, will my child's name change as well? No. If you wish to change your child's name, you will need either to file a petition as administration as proof of your new name, and may be used by those entities to change your name on their identification cards. If you did not select change your name through your divorce decree, you macourt in which you have filed for divorce or instructing your attorney to that effect ­ that decree is the equivalent of a name change order. It will be recognized by the DMV and the Social Security Aile for a name change? Your name will automatically change back to your maiden name only if you specified this in your divorce decree. If you have made this election in your decree ­ by informing the you cannot later change the license to reflect the name you wish to use after your marriage. You may, however, use this package to change your name at this time. If I just got divorced, do I need to fl copy of this certificate to change your name on other documents, including your driver's license and credit cards. In some jurisdictions, if you did not select this option on your marriage license, vidual has completed the marriage certificate to indicate that he wishes to change his name, that Information-Name Change Kit 2 document provides a record of the name change. You may use an officianeed to file a name change request? Under Indiana law, a person may change his name on his marriage certificate, if he has properly filled out the information requested on that certificate. If an indie was simply a procedural problem (e.g., you did not complete your publication requirements), you can simply fix the problem and ask the court to schedule another hearing. If I just got married, do I wait until there is enough or different evidence to support it before you attempt to file again. You cannot simply resubmit your document with the same information that you did the first time. If ther may explain this to you in court, or he may write it on the order that he enters denying your request. If the judge finds that there was not enough evidence to support your request, you will have to that in most cases a name change request will be granted, there is still a possibility that your request will be denied. If that is the case, be sure to find out why your request was denied; the judgert's reaction to the content of any such objection, may also have an impact on the final determination of your name change request. What can I do if my name change request is denied? While it is true s action is designed to ensure that the public is aware of your request and may bring any objections to the court's attention. Whether or not any individual brings an objection into court, and the coue, for example, intending to defraud creditors or planning the commission of a crime. In addition, as previously noted, you are required to publish notice of your name change in a local newspaper. Thirticular action in any particular case. However, in most cases, the court will grant a name change request, as long as it is not being pursued for an improper purpose. An improper purpose could includds imprinted with your new name. These added costs will vary from person to person. Is the court going to grant my name change request? Obviously, there is no guarantee that the court will take any pationed above requiring payment, both before and after you receive your name change. Other entities, including the DMV and the Social Security Administration, may charge for reissued identification carblishing a notice of your name change will probably be about $100. Certified copies of the final order granting your name change will probably cost about $5 each. There may be additional costs not menname change in a Information-Name Change Kit 1 newspaper of general circulation in your county once a week for three weeks. Depending on the prices demanded by your local newspaper, the cost for pu104 dollars to change your name with the court. In addition, there are a number of other fees that may need to be paid in order to complete your request, including the publication of a notice of your equirement varies widely between courts, and you should contact your local clerk's office for additional information. How much does it cost to change my name? In the state of Indiana, it costs about $an confirm with the filing clerk that your request is complete and properly filed. In addition, your local court may require that you appear at a hearing in support of your name change request. This rarance to change my name? Though you are permitted to file your papers by mail, if at all possible you should file your forms in person at the courthouse after you have completed them. That way, you cded in this package. Note that to be a resident of a state, you must generally have lived in that state for at least 1 year. Can I complete all of my forms at home, or will I have to make a court appeions that you may have about the name change process: Who can use the forms included in this package? You must be at least 18 years of age and a resident of the state of Indiana to use the forms proviarded an official decree that you may then use to amend your personal documents to reflect your new name (e.g., birth certificate, passport, credit cards, etc.). Below are answers to some common questofficial request of the circuit court of the county in which you reside to change your name. If your local court approves your request for a name change, which they will most likely do, you will be awation, instructions and forms that will allow you to obtain a name change in Indiana by petitioning the Court. Petitioning the Court means that you, as resident of the state of Indiana, are making an marriage, divorce, convenience, honoring an ancestral name or simply personal preference. There are a number of different ways to change your name in the state of Indiana. This packet provides informFindLegalForms.com Indiana Name Change Kit ©FindLegalForms, Inc., 2005 INFORMATION Indiana Petition for Change of Name -- Adult Overview People change their name for many different reasons, including Indiana