Certification - Clerk of Courts for Adult Name Change - Pennsylvania 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field where it states 'I, FORM TEXT'. This identifies you as the applicant.
3. Next, specify the county where you are filing by filling in '______ County' in the appropriate section.
4. In the section that reads 'in the name of ______', input your current legal name as it appears on official documents.
5. Provide your Social Security Number in the field labeled 'Social Security Number ___'. Ensure accuracy for verification purposes.
6. Indicate that a search has been conducted for actions filed against you over the last five years. This is typically a statement and does not require additional input.
7. Finally, sign and date the form at the bottom where it says 'WITNESS my hand and seal of this office this ___ day of ______, 20___.'

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