Fill and Sign the Name Change Petition Formminor Probate Court of

Petition for Change of Minor’s Name Page 1 of 3 IN THE PROBATE COURT OF __________________ COUNTY, ALABAMA ) In Re the Petition of ) ) )Case No. __________ ) For a Change of Name To ) ) ) PETITION AND DECLARATION FOR CHANGE OF MINOR’S NAME TO THE HONORABLE __________________, JUDGE OF PROBATE OF __________________ COUNTY, ALABAMA: Comes now your petitioner, And respectfully show(s) unto your Honor the following facts:1. Your petitioner is a resident of __________________ County, Alabama, and is over nineteen years of age and is the parents of , a minor, ______ years of age. 2.Applicable only if there is no father listed on the birth certificate (check one): I do hereby declare in writing that Is the putative father of said minor child, and his address is , and is over the age of 19 years; or, I do hereby declare that the identity of the child’s natural father is unknown or undisclosed. 3.The name given to said child at birth was .4.The name by which said child has been known is .5.Your petitioner desires to have said child’s name changed to . Wherefore, your petitioner prays that your Honor will take jurisdiction of this petition, and such proceedings, and enter such orders and decrees as may be necessary in the premises in order that said child’s legal name be hereafter: . Attorney for Petitioner: Petition for Change of Minor’s Name Page 2 of 3 Name Petitioner Address: Address: PetitionerAddress Petition for Change of Minor’s Name Page 3 of 3 VERIFICATION STATE OF ALABAMA__________________ COUNTY Before me, , a notary public in and for said county in said state, personally appeared , who, being first duly sworn, makes oath that he has read the foregoing petition and knows the contents thereof and that the facts alleged therein are true of his own knowledge. Subscribed and sworn to before me this ______ day of __________________. Affiant-Petitioner Affiant-Petitioner