Fill and Sign the Oklahoma Name Change Minor Form

IN THE DISTRICT COURT OF __________________ COUNTY STATE OF OKLAHOMA IN THE MATTER OF ) ) Case No. _________________       ) Minor Petitioner ) STATE OF OKLAHOMA ) )ss County of __________________ ) CONSENT OF MINOR TO NAME CHANGE [Age 12 and older] The undersigned, being first duly sworn upon oath, states: 1. I am the Minor Petitioner in the above entitled action. 2. I was born on the ______ day of __________________ , ______ , in the City/Town of __________________ , in the State of __________________ . I am presently ______ years of age. 3. My current full name is:       ( Full Current Name) I am aware of this action that would result in a change of my name to:       (Full Proposed New Name) I hereby CONSENT to changing my names to the proposed new names shown above. Signature       Print/Type Full Name Consent of Minor to Name Change Page 1 of 2 State of Oklahoma County of __________________ Before me, a ________________________ , in and for said state, on this ______ day of __________________ , 20 ______ , personally appeared ______________________________ to me known to be the identical person who executed the within and foregoing instrument and acknowledged to me that he/she executed the same as his/her free and voluntary act and deed for the uses and purposes therein set forth. Subscribed and sworn to before me this ______ day of __________________ , 20 ______ . Notary Public       Print or Type Name Consent of Minor to Name Change Page 2 of 2