name change

name change

IN
THE
SUPERIOR
COURT
OF
__________________
COUNTY
 


STATE
OF
GEORGIA




In
re
the
Name
Change
of
Child(ren):


*
 

*
 

___________________________________

*
 Civil
Action

___________________________________
 *
 

*
 Case
Number:___________________
 


___________________________________

*


*


*


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
*
 
 
 
 
 
 
 
 
 
 
 
 
 


,

*

Petitioner,

*

vs.

*


*

































































,

Respondent.



 


PETITION
TO
CHANGE
NAME(S)

OF
MINOR
CHILD(REN)


The
Petitioner
files
this
Petition
to
Change
Name(s)
of
Minor
Children,
and
states
the

following
in
support
of
the
petition:



1.


The
Petitioner’s
name
is
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

and
she
or
he
resides
in
_____________________________
County,
Georgia.
 
 Therefore,

jurisdiction
and
venue
are
proper
in
this
Court.




2.


The
Petitioner’s
relationship
to
the
children
in
this
action
is:
[Check
only
one
below.]


 
 
 
 
 
 
 
 
 
 
 
Mother
 
 
 
 
 
 
 
 
 
 
 
 
 
Father



 
Guardian.



Petition to Change Names of Minor Children C Rev. 3/2013
Provided by the Appalachian Family Law Information Center

Page 1 of 4




3.


These
are
the
current
names,
birthdates
and
proposed
new
names
of
the
child(ren)
for

whom
the
name
change
is
sought:





Current
Name
of
Child

Date
of
Birth

Proposed
New
Name



































4.

A
CERTIFIED
COPY
OF
THE
CHILD(REN)’S
BIRTH
CERTIFICATE
 

IS
ATTACHED
HERETO
AS
EXHIBIT
“A”




5.




[Check
only
one
of
the
following.]



 
The
minor
children
live
with
the
Petitioner
in
__________________County,
Georgia.



...

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