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4.
I changed my name when I married my spouse and I now wish to return to my birth
name or another legal name I used before my marriage. I have no illegal or fraudulent
reason for making this request. The former name I want restored is:
PRINT NAME YOU WOULD LIKE THE COURT TO RESTORE
Request for Relief
I RESPECTFULLY REQUEST that the Court:
[CHECK ALL THAT APPLY]
Grant Plaintiff’s Complaint for Absolute Divorce.
Restore me to my former name.
I ALSO REQUEST that the Court award any other relief it considers fair and proper.
[C
HECK ONE]
I do not know of any proceedings in the District of Columbia or in any state or
territoryinvolving the same claim or subject matter as thiscase.
I do know of proceedings in the District of Columbia or in any state or territory involving the
same claim or subject matter as this case, as listed on the first page of this Consent Answer (“Related
Cases”).
DC Bar Pro Bono Center (revised 10/2016)
Complaint for Absolute Divorce (Consent Answer) Page 2 of 3