Mescalero Tribal Court (2018) PO Box 227 / 159 Deer Trail Mescalero, NM 88340
MESCALERO APACHE TRIBAL COURT
MESCALERO APACHE RESERVATION, NEW MEXICO
In the Matter of the Name Change of:
Cause No:
Petitioner
Date of Birth
COMES now Petitioner, alleges as follows:
THAT, the petitioner is an enrolled member of the Mescalero Apache Tribe, with enrollment number
_____________________;
THAT petitioner resides at _________________________________________________, and was born at
_____________________________________________________;
THAT the name proposed is not sought with any fraudulent or evil intent.
THEREFORE, the Petitioner, with all due respect prays to the Tribal Court for its order correcting and changing
the name of the Petitioner FROM_________________________________________
TO______________________________________, and that a Final Order be issued for the Petitioner to send to
the State of New Mexico Vital Statistics Office so that records can be changed accordingly.
NOTE: Upon completion of this process, a copy of the Change of Name Order will be need to be provided to the Mescalero Apache
Tribe’s Census Office, Bureau of Indian Affairs-Mescalero Agency, Mescalero Indian Health Service, and all outstanding Creditors
for proper documentation.
___________________________ _____________________
Signature of Petitioner Date
NAME