Fill and Sign the Courtsingov Verified Petition for Name Change for a Form

Affidavit and Motion for Service Page 1 of 2 by Alternative Means IN THE MATTER OF: * IN THE * CIRCUIT COURT (child’s current name) * * FOR FOR CHANGE OF NAME TO: * * (child’s new name) * * BY AND THROUGH HIS/HER * Civil No.: * MOTHER/FATHER/GUARDIAN: * * (petitioner’s name) * * * * * * * * * * * * * * AFFIDAVIT AND MOTION FOR SERVICE BY ALTERNATIVE MEANS State of County of I, , petitioner, parent guardian of (minor child or children) being first duly sworn, hereby moves this court for an order allowing service of notice of the petition for name change on th e other parent: By posting By publication By other method: and in support of that Motion states: 1. That this affidavit concerns the (mother or father) of (these children/this child/or name of specific child). The name of the other parent is . 2. That the current address of the other parent cannot be located by making reasonable efforts. This is a description of the efforts I have made to find out the other parent’s address and what has happened as a result of those efforts: 3. The last known address I have for the other parent is: Affidavit and Motion for Service Page 2 of 2 by Alternative Means . This is no longer a good address because: 4. That the last time I or the child/ren had contact with the other parent was: 5. That the last time the other parent provided any financial support for the child/ren was: I SOLEMNLY AFFIRM under the penalties of perjury that the contents of the foregoing Affidavit and Motion to Serve by Alternative Means are true to the best of my knowledge, information, and belief. ___________________________________ (Date) (Your Signature) (Your Name - Printed) (Address) (City, State, Zip) (Telephone Number)