Petitioner's Name What is your CURRENT Name? First, middle, last New Name What is your NEW or REQUESTED Name? First, middle, last Mailing Address What is your Home Address? Street Address, City, State, Zip Code Reason for Change What is the REASON for the Name Change? Ex. "Name change after marriage" or "As part of a gender transition." Date of Birth What is your Date of Birth? Birthplace What is your CITY of Birth? What is your COUNTY of Birth? County What is your STATE of Birth? Birth Certificate What is your NAME as written on your Birth Certificate? First, middle, last Citizenship Which COUNTRY are you are Citizen? Former Names Have you EVER been known by any FORMER NAMES? Have you EVER been known by any FORMER NAMES? YesNo Such as an alias or a name from a former marriage. Enter any FORMER NAMES you have been known by: Felony Have you EVER been convicted of a Felony? Have you EVER been convicted of a Felony? YesNo This is required for the court. If you have been convicted of a Felony, describe: Enter each conviction made against you. County Which COUNTY is this being filed? SELECTANDERSONBEDFORDBENTONBLEDSOEBLOUNTBRADLEYCAMPBELLCANNONCARROLLCARTERCHEATHAMCHESTERCLAIBORNECLAYCOCKECOFFEECROCKETTCUMBERLANDDAVIDSONDECATURDEKALBDICKSONDYERFAYETTEFENTRESSFRANKLINGIBSONGILESGRAINGERGREENEGRUNDYHAMBLENHAMILTONHANCOCKHARDEMANHARDINHAWKINSHAYWOODHENDERSONHENRYHICKMANHOUSTONHUMPHREYSJACKSONJEFFERSONJOHNSONKNOXLAKELAUDERDALELAWRENCELEWISLINCOLNLOUDONMACONMADISONMARIONMARSHALLMAURYMCMINNMCNAIRYMEIGSMONROEMONTGOMERYMOOREMORGANOBIONOVERTONPERRYPICKETTPOLKPUTNAMRHEAROANEROBERTSONRUTHERFORDSCOTTSEQUATCHIESEVIERSHELBYSMITHSTEWARTSULLIVANSUMNERTIPTONTROUSDALEUNICOIUNIONVAN BURENWARRENWASHINGTONWAYNEWEAKLEYWHITEWILLIAMSONWILSONCOUNTY This should be the same county where you reside. Notary Requirement Do you understand that this Name Change Petition must be NOTARIZED? Do you understand that this Name Change Petition must be NOTARIZED? Yes A notary can be found at a UPS Store, Bank or Credit Union, or by finding on Google Maps. In addition, some County Clerks will notarize a Name Change Petition when filing the document. Next Save Save and finish later
