You may no longer change your name based on a renewal application.
Please disregard the statement within the renewal application that
indicates you may change your name simply by filling it in the renewal form. In
order to officially change your name in the MBON database, you
are required to submit a Name Change Form and appropriate
legal documentation (marriage
certificate/abstract, a divorce decree/dissolution showing name change
clause (with judge’s signature), or a court record indicating a name
change, based on the regulation under 10.27.01.10D(2)(b).
4140 Patterson Avenue,