Fill and Sign the Georgia Change Name Minor Form

IN THE SUPERIOR COURT OF ____________ COUNTY STATE OF GEORGIA In re the Name Change of: Child(ren):                               Petitioner:       and Respondent:       Civil Action File No: PETITION TO CHANGE NAME(S) OF MINOR CHILD(REN) Petitioner files this Petition and shows the following: 1. The following is information about the PETITIONER: Petitioner’s name:       Petitioner is a resident of __________________ County, Georgia. 2. The following is information about the CHILD(REN): The name(s) of the minor child(ren):                   This (or these) minor child(ren) are residents of __________________ County Georgia. 3. The relationship between the Petitioner and the minor child(ren): Petitioner is the (check one) mother father legal guardian of the minor children. 4. What do you want to change the names of the minor children to? Petitioner desires to change the name of the following minor children to the following: Current name(s) of minor child(ren) New name(s) of minor child(ren)       to             to             to             to       5. The reasons for such change of name(s) are as follows: (Explain why you want to change the name(s) of the child(ren):                         6. Information about the natural parents of said minor children. Name of natural mother:       Address of natural mother:       Name of natural father:       Address of natural father:       Petition to Change Name(s) of Minor Child(ren) Page 1 of 2 7. Written consent of natural parents: The written consent of said parents to such name change is attached hereto as Exhibit A. 8. WHEREFORE , Petitioner prays that the name(s) of the said minor child(ren) be changed as requested in this petition, and for the following (check all that applies): Appointment of guardian ad litem Personal service on mother father guardian(s) Service by certified mail on mother father guardian(s) This the       day of       ,       . [date] [month] [year] _____________________________________________ Sign your name here Petitioner’s name (print or type): ___________________ Petitioner’s address: _____________________________ _____________________________________________ Petitioner’s telephone number: ( _____ ) ______________ COMMENT: If the petition seeks to change the name of a minor, the written consent of living parents or guardian is required to be filed with the petition if the parents have neither abandoned the minor nor failed to support the children for a continuous period of five years or more immediately preceding the filing of the petition. If the location or address of the parent is unknown, service of the petition on the parent shall be made by publication as provided in O.C.G.A. § 19-12-1. Petition to Change Name(s) of Minor Child(ren) Page 2 of 2