Fill and Sign the Petitoners Form

Petition to Change Names - 1 - IN THE SUPERIOR COURT OF ____________ COUNTY STATE OF GEORGIA In re the Name Change of:Petitoner(s): Child(ren): Civil Action File No: PETITION TO CHANGE NAMES Petitioner(s) file this Petition To Change Name and would show the following: A. 1. The following is the personal information about Petitioner A:Your current, full name: Your residential address: Your telephone Number: County and state of residence: Date of birth (Petitioner must be at least 18 years old): Place of birth: 2. What do you want your name changed to?I want to change my name to: B. None 3. The following is the personal information about Petitioner B:Your current, full name: Your residential address: Your telephone Number: County and state of residence: Petition to Change Names - 2 - Date of birth (Petitioner must be at least 18 years old): Place of birth: 4. What do you want your name changed to?I want to change my name to: C. 5. The following is information about the CHILD(REN):The name(s) of the minor child(ren): This (or these) minor child(ren) are residents of __________________ County Georgia.6. The relationship between Petitioner A and the minor child(ren):Petitioner is the (check one) mother father legal guardian of the minor children.7. The relationship between Petitioner B and the minor child(ren):Petitioner is the (check one) mother father legal guardian of the minor children Step-Parent Other, specify: ________________________ 8.What do you want to change the names of the minor children to?Petitioner desires to change the name of the following minor children to the following:Current name(s) of minor child(ren) New name(s) of minor child(ren) to to to to to to 9. The reasons for such change of name(s) are as follows:(Explain why you want to change the name(s) of the Petitioner(s) and child(ren): 10. Information about the natural parents of said minor children.Name of natural mother: Address of natural mother: Name of natural father: Address of natural father: WHEREFORE, Petitioner prays that the name(s) of Petitioner(s) and minor child(ren) be changed as requested in this petition, and for the following (check all that applies): Appointment of guardian ad litem Personal service on mother father guardian(s) Petition to Change Names - 3 - Service by certified mail on mother father guardian(s) This the day of , < . [date][month] [year] ______________________________________Sign your name here Petitioner’s name (print or type): ___________________Petitioner’s address:_____________________________ _____________________________________________Petitioner’s telephone number: (_____)______________ ______________________________________Sign your name here Petitioner’s name (print or type): ___________________Petitioner’s address:_____________________________ _____________________________________________Petitioner’s telephone number: (_____)______________