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New York court form packet
Download the New York petition for change of name of adult packet for yourself. This state-specific self-help form package is ready for instant secure access and includes the packet documents listed below.
A practical adult name change packet built around the court filing documents used to request an official name change order.
Prepared for New York adult name change filings, with petition and order materials reflected in the downloadable packet.
Download the files, complete them on your own device, then file with the appropriate county court. Your personal details are not entered into an online form builder.
The packet helps organize the petition, verification/order materials, and supporting court paperwork commonly required for a legal name change.
This state packet includes 2 documents in editable Word and print-ready PDF formats. Use the Word version for editing and the PDF for print-ready reference.
Researched filing overview
New York Courts guidance says a name change request generally requires court papers asking for the change, including a Name Change Petition and Proposed Order, plus proof of birth and the applicable court fee or a fee-waiver request.
Name change petitions can be filed in County Court or Supreme Court in the county where the petitioner lives. New York City residents may file in a New York City Civil Court or in Supreme Court in their county.
The petition must explain why the name change is requested and disclose certain issues such as criminal convictions, bankruptcy, judgments or liens, lawsuits, and other matters when applicable. A judge may deny a request if the name change is sought for fraud, to hide from law enforcement, to avoid support or debts, or for another illegal reason.
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| ______________ Court of the State of New York County of ______________ | |
| In the Matter of the Application of: __________________________________________ Petitioner, | PETITION FOR A NAME CHANGE |
For Leave to change his / her name to: __________________________________________ (Proposed New Name) | Index No. _____________ |
The Petition of ___________________________________ respectfully shows this court:
1. The Petitioner resides at _____________________________________________ (Street Address), in the ___________ of __________________, County of __________________, and has resided at this address for a period of _______ years and _______ months prior to filing this Petition..
2. The Petitioner, ___________________________________, was born on _______________________ [date] and is now ______ years of age. (Attached to this Petition is a copy of the Petitioner's birth certificate, which is incorporated herein by reference.)
3. The Petitioner proposes to change His / Her said name to ________________________________________________.
4. The Petitioner is a natural born citizen of the United States of America.
5. The Petitioner is / is not married and has / has not been married previously.
6. The Petitioner: (Check One):
____ has never been convicted of a crime.
____ has been convicted of a crime, the details of which are attached in a separate statement, annexed hereto and made a part hereof.
7. The Petitioner has never been adjudicated a bankrupt.
8. The Petitioner affirms that there are no judgments or liens of record against the Petitioner or actions or proceedings pending to which the petitioner is a party. The Petitioner affirms that there are no voluntary or involuntary bankruptcy or insolvency proceedings pending against the Petitioner in any court or before any officer, person, body or board having jurisdiction thereof. The petitioner has not, at any time, made any assignments for the benefit of creditor. (If the previous statement does not accurately describe the Petitioner’s circumstances, enter the correct details instead of previous statement.)
9. The Petitioner affirms that there are no claims, demands, liabilities or obligations of any kind whatsoever on a written instrument or otherwise against the Petitioner’s infants under the only names by which they have been known, which are the names sought herein to be abandoned, and Petitioner’s infants have no creditors who may be adversely affected or prejudiced in any way by the proposed change of name. (If the previous statement does not accurately describe the Petitioner’s circumstances, enter the correct details instead of previous statement.)
10. The Petitioner affirms that: (Check Only One):
____ the Petitioner is not responsible for child support obligations.
____ the Petitioner is responsible for child support obligations. The Petitioner’s child support obligations have been satisfied and are up to date. The identity of the court which issued the support order is: _______________________________________________________________. The identity of the county child support collections unit is: _______________________________________________________________.
____ the Petitioner is responsible for child support obligations. The amount of child support arrearage that currently is outstanding is $_______________. The identity of the court which issued the support order is: _______________________________________________________________. The identity of the county child support collections unit is: _______________________________________________________________.
11. The Petitioner affirms that: (Check Only One):
____ the Petitioner is not responsible for spousal support obligations.
____ the Petitioner is responsible for spousal support obligations. The Petitioner’s spousal support obligations have been satisfied and are up to date. The identity of the court which issued the support order is: _______________________________________________________________.
____ the Petitioner is responsible for spousal support obligations. The amount of spousal support arrearage that currently is outstanding is $_______________. The identity of the court which issued the support order is: _______________________________________________________________.
12. The grounds of this application to change the Petitioner’s name are that the Petitioner desires the name change for social reasons.
13. No previous application has been made for the relief sought herein.
WHEREFORE, petitioner respectfully prays for an order permitting the petitioner to assume the name _______________________________________ [proposed new name] in place of that of _______________________________________ [current name].
DATED: ___________________, 20______.
_______________________________________
(Signature of petitioner)
INDIVIDUAL VERIFICATION
State of New York, County of ________________ ss.:
THIS IS TO CERTIFY that I, __________________________________________, being duly sworn deposes and says: your deponent is the Petitioner in the within action; your deponent has read the foregoing Petition and knows the contents thereof. The same is true to deponent’s own knowledge, except as to the matters therein stated to be alleged on information and belief, and as to those matters deponent believes it to be true.
Sworn to before me this _____ day of ________________, 20______.
____________________________________
Notary Public
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Yes. This product is the New York adult name change packet tied to this state-specific page and the packet documents shown above.
The included packet documents are listed on this page. Where the same document is provided in more than one format, it is grouped once with Word, PDF, or other format badges.
This packet currently includes editable Word and print-ready PDF formats. The document list above reflects the packet contents for this state without exposing internal fulfillment filenames.
Complete the petition and related court documents, then file them with the appropriate county court. Court filing fees and local procedures vary by county.
These forms are designed for self-help use, but ILRG does not provide legal advice. Consult a licensed attorney if your situation involves unusual facts, contested issues, or questions about local procedure.
Timing depends on the court, county scheduling, notice requirements, and whether anyone objects. Many name change matters take several weeks, but local timing can vary.
Possibly. Some states impose additional notice, waiting period, or disclosure requirements for certain convictions. Review local rules or consult an attorney if this applies to you.
No. ILRG provides self-help legal forms and information, not legal advice. You are responsible for reviewing local court requirements before filing.
A New York name change petition may be filed in County Court or Supreme Court in the county where the petitioner lives. New York City residents may also use New York City Civil Court.
New York Courts guidance lists court papers including a Name Change Petition and Proposed Order, proof of birth, the applicable court fee or fee-waiver request, and any additional papers required by the court.