Petition And Declaration For Change Of Name Of Minor Child Form

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IN THE PROBATE COURT OF
STATE OF ALABAMA
PETITION AND DECLARATION
________________________ COUNTY,
__________________________
FOR CHANGE OF NAME OF
ALABAMA
COUNTY
MINOR CHILD
Page 1 of 1
Case No.:
6/15
IN RE: THE NAME CHANGE OF
______________________________
To The Honorable Judge Of Probate Of _______________________ County, Alabama:
COME(S) NOW ___________________________________ and ___________________________________, as:
Parent(s),
Guardian(s),
Next of Friend, and represent(s) to this Honorable Court as follows:
1.
That the Minor’s present true, correct legal name is:
_______________________________________________________________________________________________________.
2.
The minor child is a bona fide resident of _________________________ County, Alabama, has resided in said county for
__________ months preceding this petition and is residing at:
_______________________________________________________________________________________________________.
3.
That a true and correct certified copy of the minor child’s birth certificate is attached hereto;
4.
That the Minor’s date of birth is _________________________ and the minor is _____ years of age;
5.
That Petitioner(s) is/are the true and lawful legal guardian(s) of the minor child pursuant to law;
6.
That there are no pending or prior civil legal case(s) involving the minor child, or the Petitioner regarding or involving the child, such
as but not limited to: custody, visitation, child support, contempt, domestic violence, adoption, protection from abuse, termination of
parental rights, delinquency or dependency in any state, territory or possession of the United States or any foreign country;
7.
That there is no federal, state, county, or other governmental agency that has current or pending oversight, custody, or control over the
minor child (such as the Department of Human Resources – DHR, Juvenile Court, District Court, Circuit Court, etc.);
8.
That the Minor has never been convicted of a felony or crime involving moral turpitude, is not currently facing criminal charges, and
has never been a criminal defendant, ward, delinquent, dependent or Child In Need of Supervision, in any federal, state, district or
juvenile court in any state, territory or possession of the United States; and
9.
That the Minor is not and has never been married;
10. The name(s), relationship(s), age(s), and home or business address(es) of a/the person(s) known to the Petitioner(s) at the time of the
filing of this Petition from whom (a) consent(s) to this Petition are required by law are as follows:
Name/Relationship
Age
Home or Business Address
___________________________________________
_____
____________________________________________
___________________________________________
_____
____________________________________________
___________________________________________
_____
____________________________________________
NOTE: if the Petitioner(s) cannot attest to the validity of any of the above statements, please explain as follows, or attach additional
sheets to this petition:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
WHEREFORE, THE PREMISES considered, the Petitioner(s) pray(s) that this Honorable Court will grant his/her/their prayer, and
issue an Order changing the Minor’s name to:
_________________________________________________________
I, the undersigned authority, a Notary Public, in and for said County in said State, hereby certify that said Petitioner(s) whose
name is/are signed to the foregoing instrument, and who is/are known to me, acknowledged before me on this day, that being informed
of the contents of said petition, that he/she/they executed the same voluntarily on the day the same bears date.
______________________________________
______________________________________
Petitioner
Petitioner
Address: _______________________________
Address: _______________________________
_______________________________
_______________________________
Phone: _______________________________
Phone: _______________________________
_______________________________________
_______________________________________
Signature of Minor if 14 years of age or older
SEAL
NOTARY PUBLIC
My Commission Expires:

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