Notice of Name Change
Long Islander News is happy to assist in finalizing your name change. Please follow the template below. The fee is $50 and includes an affidavit of your name change in the newspaper.
Notice is hereby given that an Order entered by the Supreme Court of the State of New York, County of Suffolk, on the 9th day of March, 2016, bearing Index No. 14-880, a copy of which may be examined at the Office of the Clerk, located at 310 Center Drive, Riverhead, New York, grants me the right, upon full compliance with this order, to assume the name John Smith. My present address is 1 Main Street, Huntington, New York, County of Suffolk; the date of my birth is May 18, 1985; my present name is John Washington.
- email email@example.com and send a check made payable to Long Islander News, 14 Wall Street, Huntington, NY 11743.
- Click here to submit your Notice of Name Change and process payment via credit card.