Fill and Sign the North Carolina Name Change 497317175 Form

STATE OF NORTH CAROLINA IN THE GENERAL COURT OF JUSTICE SUPERIOR COURT DIVISION COUNTY OF       Before the Clerk of Superior Court IN RE: CHANGE OF NAME ) ) FROM:       ) AFFIDAVIT IN SUPPORT OF PETITION (Minor’s current name) ) FOR MINOR NAME CHANGE TO:       ) (Name Minor’s name should be changed to) ) The undersigned, bring duly sworn, deposes and says: 1. I,       , the Mother Father Guardian Next Friend of the Minor       or minor petitioner seeking the name change, who was born on the       day of       ,       , and is currently       years of age. 2.       is the father mother of the Minor Petitioner and has not joined in nor consented to the action either joins in or consents to this name change. 3. To the best of my knowledge,       , the non-party parent resides at:             4. The non-party parent is is not listed on the birth certificate as the       of the minor. 5. The non-party parent has not had contact with the minor child except:             6. Describe the nature and circumstances of any financial support ordered to be paid by the non-party parent and whether that order was complied with by the non-party parent:             Further your affiant saith not. Affiant       Type or Print Name Subscribed and sworn to before me this _____ day of _______________ , _____ . Affidavit in Support of Petition for Minor Name Change Page 1 of 1