Form 11 - Ex-Parte Petition To Change Infant Name printable pdf download

Ex-Parte Petition to Change Infant Name(Form 11)

Petition

[1. Index No. & Year] Insert Index Number & the year it was purchased

[2. Fill in name(s)] Fill in the Petitioner name

[3. Fill in name(s)] Fill in the Current Infant Name

[4. Fill in name(s)] Fill in the New Infant Name

[5. Your name(s)] Your name

[6. Circle one] Circle your status

[7. Your address]

[8. Insert current infant name.]

[9. Insert new infant name.]

[10. Insert infant address, No Post Office Box.]

[11. Insert infant age.]

[12. Insert infant date of birth.]

[13. Insert County, State and Country.]

[14. Select one.] Infant must either be a citizen or legal resident of United States

[15. Explain your reasons for the application. Attach additional pages if

necessary] Describe what you are asking the court to do.

[16. If there is no consent, you must state what diligent efforts have been

made to locate the absent parent; additionally you must detail how long it

has been since the absent parent has had any contact with the child;

further, you must detail what, if any child support is being paid by the

absent parent] If the absent parent has not signed the non-petitioning parent

affidavit then this section must be filled out. Include all of your efforts to contact

the absent parent, last date of contact with the child, and child support

information.

[17. Insert new infant name.]

[18. Date and County papers are signed in] Fill in the date and the County

that you are signing the petition in.

[19. Your signature] Signature

[20. Print Your Name] Your Name

Verification

[21. Index No. & Year] Insert Index Number & the year it was purchased

[22. Fill in name(s)] Fill in the Petitioner name

[23. Fill in name(s)] Fill in the Respondent name

[24. Insert County where papers signed and notarized] State County

[25. Your name(s)] Your name

[26. Insert Petitioner or Respondent] Fill in petitioner or respondent.

[27. Insert the name(s) of the above documents e.g. affidavit, petition etc.]

Insert the name of the document you have signed

[28. SIGN YOUR NAME BEFORE NOTARY] Sign only before a notary public

[29. PRINT YOUR NAME] Your name

[30. Verification must be notarized] Document must be signed and notarized

Form 11 - Ex-Parte Petition To Change Infant Name