Consent To Change Of Name - Ohio
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1PROBATE COURT OF ____________________ COUNTY, OHIO
IN RE: CHANGE OF NAME OF ____________________________________________
(Present Name)
TO____________________________________________________________________
(Name Requested)
CASE NO. ___________
CONSENT TO CHANGE OF NAME
The undersigned ___________________________________________________________
[check one of the following 2 capacities by which your consent is given]
□
Parent
□
Alleged Father
hereby waives notice of the hearing on the Application for Change of Name and consents to the change of name of
________________________________________________________________________________________________________
to ______________________________________________________________________________________________________
as proposed in the Application.
Sworn to before me and signed in my presence this ______ day of _______________,20
.
Deputy Clerk/Notary Public
FORM 21.4 - CONSENT TO CHANGE OF NAME
Amended: March 15, 2016
Discard all previous versions of this form
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Parent category: Legal