Petitioner's Name What is your CURRENT Name? First, middle, last New Name What is your NEW Name? First, middle, last Mailing Address What is your STREET ADDRESS? What is your CITY? What is your STATE? What is your ZIP CODE? Date of Birth What is your DATE OF BIRTH? Petitioner's Contact Details What is your E-Mail Address? What is your Phone Number? Previous Names Have you EVER had a different LEGAL NAME in the past? Have you EVER had a different LEGAL NAME in the past? YesNo What NAMES have you PREVIOUSLY been known by? If you have ever had a different legal name in the past. Previous Name Changes Have you made any PREVIOUS APPLICATIONS to change your name in the PAST? Have you made any PREVIOUS APPLICATIONS to change your name in the PAST? YesNo In other words, if you've ever made a petition to the court to change your name in the past. Previous Marriages Have you EVER BEEN or ARE CURRENTLY married? Have you EVER BEEN or ARE CURRENTLY married? YesNo Criminal Record Have you EVER BEEN convicted of a CRIME? Have you EVER BEEN convicted of a CRIME? YesNo Enter the County, Municipality, Nature, Date of Crime and/or Pending Charges: Pending Lawsuits Do you have any UNSATISFIED JUDGMENT or SUITS pending against you? Do you have any UNSATISFIED JUDGMENT or SUITS pending against you? YesNo Explain the Judgments or Suits pending against you: For Valid Reasons Can you CONFIRM that your NAME CHANGE is not meant to avoid creditors, criminal prosecution, or other fraudulent purposes? Can you CONFIRM that your NAME CHANGE is not meant to avoid creditors, criminal prosecution, or other fraudulent purposes? I confirm What is the REASON for the NAME CHANGE? Ex. "Name change after marriage" or "As part of a gender transition." Other Applications Do you have any NAME CHANGE applications pending in OTHER STATES? Do you have any NAME CHANGE applications pending in OTHER STATES? YesNo Enter the State, County, and Docket Numbers of any Pending Applications: Social Security Number (SSN) What is your SOCIAL SECURITY NUMBER? If you do not want to input now, you can do so after printing. County Court Which COUNTY is this being filed? SelectAtlanticBergenBurlingtonCamdenCape MayCumberlandEssexGloucesterHudsonHunterdonMercerMiddlesexMonmouthMorrisOceanPassaicSalemSomersetSussexUnionWarrenCounty Next Save Save and finish later
