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Iowa _______________________ CLERK OF COURT ___________________ County Courthouse ___________________, Iowa ___________ IMPORTANT YOU ARE ADVISED TO SEEK LEGAL ADVICE AT ONCE TO PROTECT YOUR INTERESTS. icipate in court because of a disability, immediately call your district ADA coordinator at ________________________. (If you are hearing impaired, call Relay Iowa TTY at 1800-735-2942). ____________county courthouse in _____________________, Iowa. If you do not, judgment for the relief requested in the Petition will be rendered. If you require the assistance of auxiliary aids or services to part answer within 20 days after service of this original notice upon you and, within a reasonable time thereafter, file your motion or answer with the Clerk of Court for ________________, County, at the ss is ____________________________, Iowa _____________. That attorney's telephone number is ____________________________; facsimile number _________________________________. You must serve a motion orme changed to _________________. A copy of the petition (and any documents filed with it) is attached to this notice. The attorney for the petitioner is __________________________________, whose addree hereby notified that on ________________, a Name Change Petition has been filed in the office of the clerk of this court for the above-named Petitioner, which prays that ________________ have his na ) ) IN RE THE NAME CHANGE OF: _________________________________ No. _________________________ PETITION FOR CHANGE OF NAME (Adult) TO _________________, SPOUSE OF THE ABOVE-NAMED PETITIONER: You arubs or Memberships [_] Frequent-flyer cards [_] Legal Contracts and Wills Appendix B 1. Notice of Filing Petition for Name Change IN THE IOWA DISTRICT COURT FOR _________________________COUNTY ) ) )tration [_] Insurance (life, health, automobile, home or rental insurance, etc.) [_] Doctors, dentists, medical records, etc. [_] Utility Companies (phone, cable, gas, electric, internet, etc.) [_] Clollowing entities: [_] U.S. Post Office [_] Employer [_] 401K / IRAs / Keoghs / retirement plans [_] Credit Card companies [_] Bank Accounts (checking accounts, savings accounts, etc.) [_] Voter Regis State http://travel.state.gov/passport/forms_overview.html This link provides information on how to change your name on your passport. You may also wish to change your name with some or all of the fplace_sscard.html These links provide information on how to change your name on your social security card, and how to find a social security administration office near you. United States Department of; however, the title and registration must be corrected at the same time. Social Security Administration Iowa Offices search page: http://s00dace.ssa.gov/pro/fol/fol-home.html Document: www.ssa.gov/resentative of your financing company should be able to walk you through the process. Note that if your registration sticker expires soon, you may make appropriate corrections on the renewal applicationl need to contact the institution that is financing your vehicle in order to complete a name change on your title. The procedures for this change will vary from institution to institution, but a repretor.jsp#top?20050401133920776=200504011339 20776 (indicate in your search that you are looking for a Vehicle Registration replacement or a Duplicate Title). If your vehicle is being financed, you wilforms, together with your driver's license, current title and registration, and proof of insurance to a Service Center near you. To locate these offices, visit http://www.dot4.state.pa.us/locator/locaou want an updated vehicle title. There is no fee to obtain a corrected registration, but to obtain a corrected title costs $22.50. Follow the instructions on the form carefully. Bring your completed be found at the following link: http://www.dot4.state.pa.us/pdotforms/mv_forms/mv-41a.pdf. Complete Side A of the form if you want an updated vehicle registration, and complete Side B of the form if yg for a Driver License replacement). Vehicle Title and Registration If you own the title to your car and you wish your title to reflect your new name, you will need to complete Form MV-41A, which may is service. To locate the Driver License Center nearest you, visit http://www.dot4.state.pa.us/locator/locator.jsp#top?20050401133920776=200504011339 20776 (indicate in your search that you are lookine. You will also need to complete Form DL-80, NonCommercial Driver's License, which may be found at the following link: http://www.dot4.state.pa.us/pdotforms/dl_forms/dl-80.pdf. There is no fee for the To change your name on your driver's license you must go in person to your local Driver License Center where you will be asked to show your old license and a copy of your certified name change decre states' Departments of Health may be found at the following link: http://www.fsis.usda.gov/Fsis_Recalls/State_Departments_of_Public_Health/index.asp. Iowa Department of Motor Vehicles Driver's Licensach additional certified copy will cost $15. If you were not born in the state of Iowa, you will need to contact the equivalent Department of Health in the state in which you were born. Links to other.idph.state.ia.us/common/pdf/vital_records/application_certified_copy_vital_r ecord.pdf. It costs $15 to conduct a search for your record, and to obtain one certified copy of your birth certificate. E.ia.us/eh/vital_records_info.asp. Note that if you are filing by mail, you will also need to complete an Application for Copy of Vital Record Form, which may be found at the following link: http://wwwmust contact the Iowa Department of Public Health, Bureau of Health Statistics. If you wish to order by phone or by mail, you should review the information at the following link: http://www.idph.stateCONGRATULATIONS AND GOOD LUCK! Instructions-Name Change Kit 7 APPENDIX A Relevant Agencies Iowa Department of Public Health: Bureau of Health Statistics If you were born in the state of Iowa, you 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 contact information for those entities, is included in Appendix A. ourt to obtain a certified copy of this order, which will cost about $10 per copy. Step 11. Changing your Personal Documents. After you have received your certified order, you may amend your personal Certified Judgment. Several weeks after the court has received your affidavit, it will certify your Name Change Decree. This is the final official step of the name change process. Contact your local cat the 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 10. Getting your ies of 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 thge to other parties, as explained in Step 9. Step 9. Notify Additional Entities of Your Name Change. In connection with your application, the judge may require that you notify additional specific partg is held, and the decree wasn't previously signed, 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 chanthink might be needed. 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. If a hearinis and be certain to bring all relevant papers with you, including the file-stamped Petition and the Decree (if the clerk did not take it from you at the time of filing), and any other items that you our court to determine if a hearing will be held on your name change request and, if so, to confirm the date and time of that hearing. If there is a hearing, be sure that you know where the courtroom nd Hearing, if necessary. The court may sign your Decree after a 30-day waiting period. However, if any objections were filed to your Petition, a hearing may be held in your case. You should contact ye any questions about the status of your name change request, or other specific questions about your case, you can use this number to allow court personnel to assist you more efficiently. Step 8. Attember and establish a file. The "case number" is the number assigned to your request for a name change. This is the reference number that you will use for the duration of your time in court. If you havr the document has been signed, attach a copy of your Petition to your Notice. You should mail these documents to your spouse. Instructions-Name Change Kit 6 Step 7. The court will assign a case nuif applicable). If you are married, Iowa law requires you to serve your petition on your spouse. You will need to have your local district court clerk execute the document before you can do this. Afted stamped envelopes with your documents, so that the clerk can return both a file-stamped copy of the forms and, where possible, a signed decree. Step 6. Serve the Notice and Petition on Your Spouse (should ask that if one or both of the orders can be signed without a hearing, that the clerk return that executed decree to you in one of the envelopes provided. Include at least two self-addressed anhe court file the necessary forms and that the judge execute the decree. You should also state that, if a hearing is needed, the letter serves as a request to schedule that hearing. Additionally, you mail your forms, you should include a cover letter that explains that you are requesting a name change and that includes a list of the forms that you are submitting. Your letter should request that tyou 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 bring in your documents, which will be about $100. Mail ­ If you decide to completed the filing of your request to change your name, it will not be official until the judge has signed your decree, as discussed below. You can contact your court in advance to determine where 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 have-addressed stamped envelope with you for this purpose. She may instruct you to bring one or both of the orders with you to a court hearing, at which time the judge would complete and sign it. She may copy for your records. Ask the clerk if you need to file your Name Change Decree at this time. She may take these documents, have them signed by a judge and mailed back to you - you should have a self well as at least three copies of those documents. Tell the filing clerk that you are filing a Name Change Petition. The clerk will then take your original documents, and return to you a file-stamped urt, as the process tends to be faster and you 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, asuctions-Name Change Kit 5 Step 6. File the Notarized Petition and the Decree. You can file the forms in person, or you may mail in your completed documents. It is usually a better idea to go into coximity to those buildings. You may contact your local court for more information, or locate a nearby notary public in your local phone book. The cost for this service varies. B. GOING TO COURT. Instr Once you have done this, your application becomes what is known as a "Verified Petition" or a "Notarized Petition." In many areas, there are notaries located in courthouses, or available in close pror local clerk to determine if your jurisdiction requires that you have your Petition verified. If the answer is yes, you must bring your documents to a Notary Public and sign them in his/her presence.ollowing link: http://www.fsis.usda.gov/Fsis_Recalls/State_Departments_of_Public_Health/index.asp. Step 5. Sign the Petition in front of Notary. After you have completed your documents, check with youwere not born in the state of Iowa, you will need to contact the equivalent Department of Health in the state in which you were born. Links to other states' Departments of Health may be found at the fon_certified_copy_vital_r ecord.pdf. It costs $15 to conduct a search for your record, and to obtain one certified copy of your birth certificate. Each additional certified copy will cost $15. If you re filing by mail, you will also need to complete an Application for Copy of Vital Record Form, which may be found at the following link: http://www.idph.state.ia.us/common/pdf/vital_records/applicatiureau of Health Statistics. If you wish to order by phone or by mail, you should review the information at the following link: http://www.idph.state.ia.us/eh/vital_records_info.asp. Note that if you aAs noted above, you must attach a certified copy of your birth certificate to your Name Change Petition. If you were born in the state of Iowa, you must contact the Iowa Department of Public Health, B Signature. DO NOT SIGN THIS DOCUMENT. The judge will sign this document at a later date, indicating that he or she has granted your motion. Step 4. Obtain a Certified Copy of Your Birth Certificate. write your proposed name, that is, the name that you wish to adopt. "Known as/Forward be known as." In the first blank, write your current complete name. In the second blank, write your proposed name.o your Name Change Petition and insert it into the appropriate blanks here. Do not forget to insert a complete, legal description of any real estate that you own. "Change of Name to." Again, you must " In the first blank, again write your current complete name. In the second blank, insert your complete proposed name. Second Paragraph. In this paragraph, take all of the information that you put int in the document relating to the month, date and year. This is for the judge to complete when he or she is going to sign your document. Instructions-Name Change Kit 4 "Petition of/Changing name to.back to the instructions provided above. "In Re: The Name Change of." In the blank, after the words "Name of," you should insert your full current name. Date Blanks. Do not complete the initial blanksECHG/IASTATE2.doc Heading Box. This is a similar heading box as in the Name Change Petition. Provide the same information in the same spaces as you did on your Petition. If you become confused, refer ocument is an order that will be signed by the court, confirming the completeness of your name change. A "decree" is simply another word for order. Iowa State: http://www.findlegalforms.com/public/NAMyour local clerk for contact information for this person. DO NOT SIGN THIS DOCUMENT. The clerk will sign the document and complete the remaining information on the form. [_] Name Change Decree. This drmation in those spaces. County/Town Name. In the next blanks, write the name of the county in which you are filing, and the name of the town in which your courthouse is located. ADA Coordinator. Ask ess. If you are represented by an attorney, write your attorney's name and contact information in the spaces provided. If you are filing your petition on your own, write your own name and contact infonsert your full current name. "That/Have his name changed to." In the first blank, again write your current complete name. In the second blank, insert your complete proposed name. Attorney's Name/Addrn the same spaces as you did on your Petition. If you become confused, refer back to the instructions provided above. "In Re: The Name Change of." In the blank, after the words "Name of," you should ial information about this requirement may be found in Step 6 below. Iowa State: See Appendix B Heading Box. This is a similar heading box as in the Name Change Petition. Provide the same information iInstructions-Name Change Kit 3 [_] Original Notice (if applicable). If you are married, this notice will be used to officially inform your spouse of the filing of your Name Change Petition. Additionish to have and check to make sure that it is legible and correct. Signature. DO NOT SIGN THIS DOCUMENT AT THIS TIME. Additional information about signing your petition may be found in Step 5 below. u to once again provide your complete current name. The second 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 w have attached a certified copy of your birth certificate to this petition. Additional information about this requirement is provided in Step 4 below. "Wherefore." The first blank in this item asks yonot this item applies to you, you should do additional research or consult with an attorney before completing any forms. Item 9. This item requires no statement on your part, but does ask you that you must not have previously requested a name change by petitioning the court. This does not include name changes made in connection with a marriage or divorce proceeding. If you are not sure whether or most reasons for a name change. Item 8. This item requires no action on your part, but in completing this form you are asserting under penalty of law that it is a true statement for you. You thereforename more suited to their personality. You should provide true and complete information about your request in this section. Do not worry that your reasons are inadequate: the courts do tend to accept u to provide information about why you wish to change your name. Some examples of why people have changed their names are reclamation of a birth name, reversion to an ancestral name or embracing of a court will know to review that information as well. Item 6. This item asks you to indicate whether you are married or unmarried. Put a check mark in the appropriate space. Item 7. This section asks yoother sheet of paper to continue your list and complete the information requested. If you are attaching an additional piece of paper, be sure to indicate this at the bottom of the section so that the the spaces provided. In addition, you must provide a list of each residence in which you have lived for and during the five years prior to the filing of your petition. If necessary, you may attach anf you are unclear what this means, you should consult an attorney for additional information. Item 5. Instructions-Name Change Kit 2 Provide your current address, including both city and county, in sure to indicate this at the bottom of the section so that the court will know to review that information as well. Note that this list must include a legal description of the property that you own. Ither real property that you own. If necessary, you may attach another sheet of paper to continue your list and complete the information requested. If you are attaching an additional piece of paper, be Iowa law requires that persons applying for a name change must list all of the real property that they own in their petition. In these spaces, you should provide a comprehensive list of any land or ocate your race in the first blank and your sex in the second. Provide the place of your birth, including city, state and country, and the date of your birth, including the month, day and year. Item 4.side. Item 2. This item asks for a series of personal descriptors. Write your height, in feet and inches, your weight in pounds, your hair color and your eye color in the spaces provided. Item 3. Indiwords "Name of," you should insert your full current name. Item 1. Again write your current complete name in the first blank provided. In the second space, write the name of the county in which you renumber that will be assigned 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 Name Change of." In the blank, after the ts, you may look in your local telephone directory or on the Internet at http://www.judicial.state.ia.us/district/ Do not be concerned with the "Number" blank on the right side of the page. This is a nclude similar information at the top of 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 Iowa counties and district cour/faq/Name%20change%20PETITION.doc or http://www.findlegalforms.com/public/NAMECHG/IASTATE1.pdf Heading Box/County Information. This is the box of text at the top of the page. You will be required to it court to determine whether they will accept documents completed by hand. [_]Name Change Petition. This is your official request to the court to change your name. Iowa State: www.judicial.state.ia.uss possible. The court may reject forms that are difficult to read or may input the information incorrectly, causing your application to be delayed or rejected. You should check with your local distric may be completed on your computer, by typewriter, or by hand. If you are filling out the forms by hand, you should use black ink and print as Instructions-Name Change Kit 1 legibly and as neatly ae will assist you in finding the appropriate division in which to file. Step 3: Filling Out the Forms. You must complete the Name Change Petition and the Name Change Decree. These Microsoft Word forms Courts: http://www.judicial.state.ia.us/district/ Clerks of District Courts: http://www.judicial.state.ia.us/courtadmin/directories/clerks.asp Ask to speak with the clerk in your courthouse; he or sh a clerk of a district court in your county you may locate its address and telephone number in your local telephone directory. You may also use the addresses listed at the following websites: Districte 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 have specific to your situation. To contactyour 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 file; (2) the filing fees for a name changr additional assistance. Step 2: Contact your Court's Clerk. Given the extreme rule variations between local courts, you will need to contact your local court clerk to obtain additional details about either the law library of your local court, or at the following link: http://www.legis.state.ia.us/IACODE/2001/674/ If you find this law difficult or confusing, you may wish to contact an attorney for request. You should also review Iowa name change law before beginning this process. The relevant law may be found at sections 674.1 to 674.14 of the Iowa State Code. You can locate these sections inou begin completing any of the documents. The forms included in this package are not complicated, but any inadvertent mistakes or omissions may delay your case, and could cause the court to reject youLETING THE FORMS Step 1: Read the Instructions Carefully. You should read this package of instructions and information, as well as the instructions contained in the official forms, carefully before yuse of these materials. An attorney should be consulted for all serious legal matters. Information-Name Change Kit 5 INSTRUCTIONS Iowa Petition for Change of Name -- Adult A. GETTING STARTED ­ COMPa, or profits or business interruption), however caused and on any theory of liability, whether in contract, strict liability or tort (including negligence or otherwise) arising in any way out of the be responsible or liable for any direct, indirect, incidental, special, exemplary or consequential damages (including, but not limited to, procurement of substitute goods or services, loss of use, datlity, suitability or completeness of any of the materials for your particular needs. The materials are used at your own risk. In no event will FindLegalForms, Inc., its agents, partners or affiliates e of these materials is subject to the "Disclaimers and Terms of Use" found at findlegalforms.com. These materials are provided "AS-IS." We do not give any express or implied warranties of merchantabire up to date. Information-Name Change Kit 4 Disclaimer No Attorney-Client relationship is created by use of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and uslayed or rejected. The forms linked below may be modified by the State of Iowa or its local courts from time to time, so you should check with your local clerk to ensure that the forms you are using ae black ink and print as legibly and neatly as possible. The court may reject forms that are difficult to read, or may input the information incorrectly; these mistakes may cause your request to be dePetition for Name Change; Original Notice; and Name Change Decree You should fill out the forms manually, either with a typewriter, on your computer, or by hand. If you are not using a typewriter, uschanging your name for fraudulent, illegal or other improper purposes. Materials This packet contains: 1. 2. 3. 4. 5. Information for the Name Change Packet; Instructions for the Name Change Packet; record against you, or actions or proceedings pending to which you are a party; Have previously requested and been granted a name change, other than as a part of a marriage or divorce proceeding; Are 3. 4. 5. 6. 7. Are under the age of 18; Are requesting a name change on behalf of someone else; Have criminal charges pending against you; Have been adjudicated a bankrupt; Have judgments or liens of o use this packet you must be: 1. 2. 3. Over the age of 18; A resident of the state of Iowa; and A resident of the county where you will file your petition. You may not use this packet if you: 1. 2. an be approved. If the judge approves your request, he will sign an order permitting you to assume your new name. In total, the entire process will probably take between 1 and 2 months. Requirements T difficult to state with certainty how long it will take to complete the name change process. After you have completed and filed your forms, there is a thirty day waiting period before your petition ct as proof of that change. A list of agencies that you may need to contact is attached as Appendix A. How long will it take before my name is officially changed? Information-Name Change Kit 3 It iste/social security card/credit cards change automatically? No. You must contact the appropriate agencies, and inform them of your name change. You may show them the certified Decree issued by the coured the order granting your request, 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 certificar more information. After I have filed 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 certifihange can take place, including notification 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 foname? If you have been convicted of a violent felony offense, or certain other felonies, and are currently incarcerated or on parole, there are certain special steps that must be taken before a name cyour child's name change; 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 le a petition as a 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 rce decree, you may 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 fi Social Security 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 divo by informing the court 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 theed, do I need to file 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 ­marriage license, 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 divorccertificate to change your name on other documents, including your driver's license and Information-Name Change Kit 2 credit cards. In some jurisdictions, if you did not select this option on your ficate. If an individual has completed the marriage certificate to indicate that he wishes to change his name, that document provides a record of the name change. You may use an official copy of this st got married, do I need to file a name change request? Under Iowa law, a person may change his name on his marriage certificate, if he has properly filled out the information requested on that certiime. If there was simply a procedural problem (e.g., you did not sign your documents in front of a notary public), you can simply fix the problem and ask the court to schedule another hearing. If I juill have to 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 td; the judge 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 w it is true 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 denie and the court'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 intending to defraud creditors or planning the commission of a crime. In addition, you are required to notify your spouse of your name change. Whether or not he or she brings an objection into court, 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 include, for example,th 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 particular action fee to have a Notary Public witness the signature on your petition. Other entities, including the DMV and the Social Security Administration, may charge for reissued identification cards imprinted wirder granting your name change will cost about $10 each. There may be additional costs not mentioned above requiring payment, both before and after you receive your name change. You will need to pay ange your name with the court. Information-Name Change Kit 1 In addition, there are a number of other fees that may need to be paid in order to complete your request. Certified copies of the final oes 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 Iowa, it costs about $100 dollars to cha 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 requirement varie 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 can confirm withge. Note that to be a resident of a state, you must generally have lived in that state for at least 6 months. Can I complete all of my forms at home, or will I have to make a court appearance to changmay 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 Iowa to use the forms provided in this packaial 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 questions that you t of the district 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 awarded an officstructions and forms that will allow you to obtain a name change in Iowa by petitioning the Court. Petitioning the Court means that you, as resident of the state of Iowa, are making an official requesage, 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 Iowa. This packet provides information, inFindLegalForms.com Iowa Name Change Kit ©FindLegalForms, Inc., 2005 INFORMATION Iowa Petition for Change of Name -- Adult Overview People change their name for many different reasons, including marri Iowa