Fill and Sign the Swear or Affirm under Oath that Form

Consent to Name Change of Minor ChildPage 1 (your name) (your street address) (city, state, zip code) (your phone number) MONTANA JUDICIAL DISTRICT COURT, (number of district in which your county is located) COUNTY (name of your county) )Your Case No. In the Matter of the Name Change of, ) )CONSENT TO NAME CHANGE OF , ) MINOR CHILD (your current legal name)) ) Petitioner. ) I, , swear (or affirm) under oath that: (your name) 1. Choose one of the following: I am the Mother Father of the minor child. Both of the parents of the minor child are dead, and I am [the guardian] [one of the guardians] of the minor child. (circle one) 2. I consent to the name change of the minor child from (the minor’s current legal name)      to . (the name you would like the minor to start using) DATED this day of , 20    . (date) (month) (year) ___________________________________ (Your signature) (print your name) Consent to Name Change of Minor ChildPage 2 State of County of SIGNED AND SWORN (OR AFFIRMED) to before me on __________________, 20___ by _______________________________________. __________________________________________________ Notary Public for the State of _________________ Printed name of notary _______________________ Title or rank: ______________________________ Residing at _______________________________