Affidavit of Party Requesting Name Change


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CAUSE NO. _______________________ 
 
 
IN THE MATTER OF        IN THE _______________ 
THE MARRIAGE OF 
 
____________________________________    DISTRICT COURT OF 
AND   
 
_____________________________________    DALLAS COUNTY, TEXAS 
 
AFFIDAVIT OF PARTY 
REQUESTING NAME CHANGE 
 
COUNTY OF DALLAS         STATE OF TEXAS 
 
BEFORE ME, the undersigned authority, on this day personally appeared 
 
___________________________________________________, Petitioner in the above named and numbered cause, 
 
who being by me duly sworn, on oath stated: 
 
“My name is __________________________________________________. I am the Petitioner in the above named  
 
and numbered cause. 
 
I have personal knowledge of the facts stated in this affidavit, and they are true and correct. 
 
I am a _______________________________________   _____________________________ adult. 
               (Race)                                                                (Sex) 
My Social Security Number is _______________________________________________________. 
 
I have been a resident of Dallas County since the filing of the Original Petition. 
 
I have been issued a Texas Driver’s License Number: _____________________________________. 
 
I have never been arrested or charged with a criminal offense. 
 
The change of name requested is in my best interest and to my benefit and in the interest of the public. 
 
The name requested, _________________________________________________, is the name I had before I 
 
married the respondent. 
 
I am not asking for the resumption of my former name in order to attempt to evade any legal obligation. 
 
I want to resume the use of my former name because I (have children/have no children) with that name 
 
and I have been married to ________________________________________________ for ____________ years. 
 
I have demonstrated good cause for a name change. 
 
      __________________________________________________ 
                               (Signature)  
 
Signed and Sworn to before me on the ___________ day of __________________________________, 20_______. 
 
 
      __________________________________________________ 
                                Notary Public, State of Texas