Petition To Amend Birth Certificate - Superior Court Of Gwinnett County Page 9
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12☐ (b) Father's Name
Currently reads:
Should read:
☐ First Name
☐ Middle Name
☐ Last Name
☐ (c) Mother's Name
Currently reads:
Should read:
☐ First Name
☐ Middle Name
☐ Last Name
☐
(d) Other error described here:
____________________________________________________________
____________________________________________________________.
5.
I have read this consent document, and I understand it. I am giving my consent
freely. I have written my initials next to all of the provisions in Paragraph 3 to which I am
agreeing. I am not being forced to sign this consent.
Respondent
(Signature)
Name: ___________________________________
Address: _________________________________
_________________________________
Phone:
Sworn to and subscribed before me
this ______ day of ______________, 20___.
____________________________
Notary Public
_____________________________________________________________________________________
Consent to Amend Birth Certificate
-
Rev. March 2016
2
Provided by the Gwinnett Family Law Clinic
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal