Fillable Probate Court Form 123 Petition To Change Name Of Minor printable pdf download

Probate Court Form 123 Petition To Change Name Of Minor

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Probate Court Form No. 123

Petition to Change Name of Minor

STATE OF VERMONT

PROBATE COURT

DISTRICT OF__________________, SS.

DOCKET NO.____________

IN RE ____________________________

OF _______________________________

PETITION TO CHANGE NAME OF MINOR

Part I. Request for Change of Name

The undersigned represents as follows:

That the minor's name is________________________________________.

That the minor was born at ______________________________________

town/city and state

on______________;

date of birth

That the parents of the minor are:

Name:___________________________

Name:________________________

Address: _______________________

Address: ____________________

________________________________

_____________________________

________________________________

_____________________________

That the guardian, if any, for the child was appointed by

__________________and has the following name and address:

________________________________________________________________

Name of court:______________________

Address: ___________________________

_____________________________________

That my relationship to the child is:

parent ( ) guardian ( )

That the name I wish the minor to be known as is

___________________________.

That the reason for changing the minor's name is as follows:

________________________________________________________________

_________________________________________________________________

Dated ______________________

__________

Petitioner

Probate Court Form 123 Petition To Change Name Of Minor

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