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I, the undersigned individual, of legal age, being first sworn, do state that I am familiar with the

I, the undersigned individual, of legal age, being first sworn, do state that I am familiar with the 2025

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The document is a verification statement for a Petition for Change of Name, affirming the truthfulness of the petition under penalty of perjury. It includes a signature line for the individual and a notary public section. The form is provided by the Oklahoma County Bar Association Legal Aid Committee and does not constitute legal advice.

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