Legal Name Change Consent

Legal Name Change Consent

This Consent to Legal Name Change (the "Consent") is made on by and between Petitioner Name: (the "Petitioner") and Consenting Party Name: (the "Consenting Party").

RECITALS

WHEREAS, the Petitioner is the person presently known as , and has filed or intends to file a petition in , located in , seeking to change the Petitioner's name to .

WHEREAS, court case number (if assigned): ; and the Consenting Party is a person whose consent is required by law or is requested by the Petitioner to avoid contested proceedings.

WHEREAS, the Consenting Party has been apprised of the Petitioner's reasons for the requested name change and has had the opportunity to consult with independent counsel.

NOW, THEREFORE, in consideration of the mutual covenants and promises contained herein and for other good and valuable consideration, the sufficiency of which is acknowledged, the parties agree as follows:

1. CONSENT

The Consenting Party hereby expressly consents to the Petitioner's application to change the Petitioner's legal name to , and authorizes the court to enter such orders as necessary to effect the change. This consent constitutes the Consenting Party's voluntary and knowing waiver of any objection to the Petitioner's requested name change in the jurisdiction identified above.

2. AUTHORITY AND REPRESENTATIONS

The Consenting Party represents and warrants that: (a) the Consenting Party is at least eighteen (18) years of age and has the full legal capacity to execute this Consent; (b) the Consenting Party's consent is given freely, without duress, undue influence, or coercion; and (c) the Consenting Party has not assigned, transferred, or otherwise encumbered any rights that would prevent the granting of this Consent.

3. NO PENDING CLAIMS

The Consenting Party further represents that, to the Consenting Party's actual knowledge, there are no pending legal actions, judgments, liens, or claims that would be adversely affected by the Petitioner's change of name, other than those disclosed in writing to the Petitioner as follows:

4. WAIVER OF OBJECTION AND COOPERATION

The Consenting Party waives any right to receive further notice of the Petitioner's request and agrees not to contest the Petitioner's name change, provided the court acts within the scope of its lawful authority. The Consenting Party agrees to cooperate reasonably with the Petitioner and to sign such additional documents or attend hearings if the court or other third parties require further evidence of consent.

5. INDEMNIFICATION

The Consenting Party shall indemnify, defend, and hold the Petitioner harmless from and against any losses, liabilities, costs, or expenses (including reasonable attorneys' fees) arising from any breach of the representations or warranties contained in this Consent or from any claim by a third party arising from information known to the Consenting Party but not disclosed in this Consent.

6. NOTICES

All notices required or permitted under this Consent shall be in writing and delivered to the addresses set forth below, or to such other address as a party may designate in writing in accordance with this section. Notice shall be effective upon personal delivery, delivery by nationally recognized overnight courier, or three (3) business days after deposit in the United States mail, postage prepaid, certified mail, return receipt requested.

7. GOVERNING LAW

This Consent shall be governed by and construed in accordance with the laws of the state identified below, without regard to principles of conflicts of law.

8. ENTIRE AGREEMENT

This Consent contains the entire agreement of the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written, of the parties.

9. SEVERABILITY

If any provision of this Consent is determined to be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired.

10. AMENDMENT; WAIVER; COUNTERPARTS

This Consent may be amended only by a writing signed by both parties. No waiver of any breach shall be effective unless in writing signed by the party waiving the breach. This Consent may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument.

11. EFFECTIVE DATE

This Consent shall become effective upon execution by both parties and shall remain effective until the court enters a final order granting or denying the Petitioner's request or until otherwise terminated by written agreement of the parties.

ADDITIONAL INFORMATION

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