-
VERIFIED PETITION FOR CHANGE OF NAME STATE OF INDIANA SS COUNTY OF KOSCIUSKO IN RE THE NAME CHANGE OF NAIMA ANN KARSSLI, Petitioner IN THE KOSCIUSKO SUPERIOR/CIRCUIT COURT CAUSE NO. 43C01-1002-MI-73 Petitioner, Naima Ann Karssli, pro se, respectfully petitions this Court to change her name. In support of this Petition, Petitioner states as follows: 1. that my current name is: Naima Ann Karssli. 2. That I reside at: 190 West 400 South, Warsaw, Indiana 46580 3. That pursuant to Indiana Code 34-28-2-1, I wish to change my name. 4. That I am not seeking to defraud creditors by changing my name. 5. That I have not been convicted of a felony within the last ten (10) years. 6. That I wish to change my name to: Naima Ann Perry WHEREFORE, I respectfully request that this Court grant my Petition for Name Change, and for all just and proper relief. I affirm under the penalties of perjury that the foregoing representations are true. Naima Ann Karssli 190 West 400 South Warsaw, IN 46850 (574) 527-2358 f10,17,24
