North Carolina Minor Name Change

STATE OF NORTH CAROLINA
MINOR NAME CHANGE PACKET

This form packet is designed to assist in the process of a Minor Name Change in North Carolina. Please complete all sections accurately.

I. Special Proceedings Cover Sheet (NC-NC-103)

Petitioner's Full Name:

Minor's Full Name:

Attorney's Full Name (if applicable):

Case Type:

II. Notice of Intent to Change Name (NC-NC-200)

Minor's Current Full Name:

Minor's Proposed Full Name:

Date of Posting Notice:

Location of Posting (e.g., Courthouse Bulletin Board):

III. Petition for Name Change (NC-NC-107)

Petitioner's Full Name:

Petitioner's Relationship to Minor:

Minor's Current Full Name:

Minor's Date of Birth: Minor's Place of Birth:

Minor's Proposed Full Name:

Reasons for Name Change:

Parent 1 Full Name:

Parent 2 Full Name (if applicable):

I am not changing the minor's name to avoid debts or defraud creditors.

IV. Consent for Name Change (NC-NC-202)

Consenting Party's Full Name:

Relationship to Minor:

Minor's Full Name:

I, the undersigned, hereby consent to the change of name for the minor named above as requested in the Petition for Name Change.

V. Affidavit of Good Character (NC-NC-202 and NC-NC-202-2)

(Required for minors 16 years of age or older)

Affiant's Full Name:

Affiant's Full Address:

Relationship to Minor (must be unrelated adult):

Minor's Full Name:

I, the undersigned, being duly sworn, depose and say that I am an unrelated adult residing in the same county as the minor, and I have personal knowledge of the minor's good character and reputation in the community.

(Notary Public Seal and Signature required)

VI. Affidavit in Support of Petition for Minor Name Change (NC-NC-203)

(For non-participating parent or guardian)

Affiant's Full Name (Non-participating Parent/Guardian):

Minor's Full Name:

I, the undersigned, being duly sworn, depose and say that:

I consent to the minor's name change as requested in the Petition.

I acknowledge that I have abandoned the minor as defined by G.S. 1-301.2, and therefore my consent is not required.

A court of competent jurisdiction has previously found that I have abandoned the minor. (Attach certified copy of court order).

(Notary Public Seal and Signature required)

VII. Order And Certificate Of Name Change (NC-NC-106)

(To be completed by the Court)

Minor's Current Full Name:

Minor's New Full Name:

Date of Order: