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Fill and Sign the Adult Name Change Georgia Form

Fill and Sign the Adult Name Change Georgia Form

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IN THE SUPERIOR COURT OF COUNTY STATE OF GEORGIA In re the Name Change of: Civil Action File No: Petitioner: STATE OF GEORGIA COUNTY OF AFFIDAVIT OF PUBLICATION PERSONALLY APPEARED BEFORE ME, in the county aforesaid, ____________________________________ , who after being duly sworn, does state on his/her oath that the attached newspaper clipping represents publication fo ur (4) times in the County of ________________________ , Georgia in a newspaper of general circulation with regard to the Petition of ______________________________ . THIS, the ______ day of ____________ ____________ , 20 ______ . ___________________________________ DISINTERESTED PARTY SUBSCRIBED AND SWORN TO BEFORE ME, this the ______ day of ________________________ , 20 ______ . ___________________________________ NOTARY PUBLIC My Commission Expires: ________________________

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