Fill and Sign the Change Name Instructions Form

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.982(d), CONSENT FOR CHANGE OF NAME (MINOR CHILD(REN)) (02/18) When should this form be used? This form should be used when one parent consents to the other parent’s petition to change the name of their minor child(ren). A parent who is not a petitioner in the case but is consenting to the change of name should complete this form and sign it in front of a notary public or deputy clerk . This form should be typed or printed in black ink. After this form is signed and notarized, you should file it with the clerk of the circuit court in the county where the petition was fled and keep a copy for your records. This form should be attached to the Petition for Change of Name (Minor Child(ren)) , Florida Supreme Court Approved Family Law Form 12.982(c), if obtained prior to the fling of the petition. Otherwise, it may be fled separately after it has been completed. IMPORTANT INFORMATION REGARDING E-FILING The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be fled electronically except in certain circumstances. Self- represented litigants may file petitions or other pleadings or documents electronically; however, they are not required to do so. If you choose to fle your pleadings or other documents electronically, you must do so in accordance with Florida Rule of Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you fle. The rules and procedures should be carefully read and followed. Where can I look for more information? Before proceeding, you should read General Information for Self - Represented Litigants found at the beginning of these forms. For further information see section 68.07, Florida Statutes, and the instructions for Petition for Change of Name (Minor Child(ren)) , Florida Supreme Court Approved Family Law Form 12.982(c), or Petition for Change of Name (Family) , Florida Supreme Court Approved Family Law Form 12.982(f). Special notes... Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fll out these forms, that person must give you a copy of a Disclosure Instructions for Florida Supreme Court Approved Family Law Form 12.982(d), Consent for Change of Name (Minor Child(ren))(02/18) from Nonlawyer , Florida Family Law Rules of Procedure Form 12.900 (a), before he or she helps you. A nonlawyer helping you fll out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete. Instructions for Florida Supreme Court Approved Family Law Form 12.982(d), Consent for Change of Name (Minor Child(ren))(02/18) IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: IN RE: THE NAME CHANGE OF ___________________ , Petitioner. CONSENT FOR CHANGE OF NAME (MINOR CHILD(REN)) I, {full legal name} , being sworn, certify that the following information is true: I am the birth or legal parent of the minor child(ren) named in this case, and I give consent for the following name changes: Minor child(ren)’s complete present name(s): (1) (2) (3) (4) (5) (6) Minor child(ren)’s name(s) to be changed to: (1) (2) (3) (4) (5) (6) Florida Supreme Court Approved Family Law Form 12.982(d), Consent for Change of Name (Minor Child(ren)) (02/18) I understand that I am swearing or afrming under oath to the truthfulness of the claims made in this consent and that the punishment for knowingly making a false statement includes fines and/or imprisonment. Dated:___________________ _____________________________________________ Signature of Consenting Parent Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: Designated E-mail Address(es): ____________________ _____________________________________________ STATE OF FLORIDA COUNTY OF Sworn to or afrmed and signed before me on by . NOTARY PUBLIC or DEPUTY CLERK {Print, type, or stamp commissioned name of notary or clerk.} __ Personally known __ Produced identifcation Type of identifcation produced Florida Supreme Court Approved Family Law Form 12.982(d), Consent for Change of Name (Minor Child(ren)) (02/18) IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fll in all blanks] This form was prepared for the: {choose one} _____ Petitioner _____Consenting Parent This form was completed with the assistance of: {name of individual} ___________________________________________________________________, {name of business} _____________________________________________________________________, {address} ____________________________________________________________________________ , {city} _______________, {state} _____, {zip code}_____________, {telephone number} . Florida Supreme Court Approved Family Law Form 12.982(d), Consent for Change of Name (Minor Child(ren)) (02/18)