Fill and Sign the Ps12 Request to Change Name Case Number the Clerk Fills Form

Petition and Declaration for Change of Name Page 1 of 4 IN THE PROBATE COURT OF __________________ COUNTY, ALABAMA ) In Re the Petition of ) ) ) ) ) ) ) ) ) ) ) ) For a Change of Name To )Case No. _________ ) ) ) ) ) ) ) ) ) ) PETITION AND DECLARATION FOR CHANGE OF NAME TO THE HONORABLE _________________, JUDGE OF PROBATE FOR ____________ COUNTY, ALABAMA: Comes your petitioner(s), , and respectfully shows unto your Honor the following facts: A. Adult Petitioner 1. Your petitioner is a resident of County, Alabama, and is over the age of nineteen years. 2. The name given your petitioner at birth was .3. At birth Petitioner was named and has: a lw ay s b een k now n b y t h at n am e, o r h as a ls o b een k now n b y th e fo llo w in g o th er n am es d urin g th e fo llo w in g p erio ds o f tim e (g iv e date s a n d b rie fly e x pla in c ir c u m sta n ces): - 4. Your petitioner wishes to have his name changed to , and to be known henceforth by said name alone. 5. Petitioner is the Father of the Minor Petitioners: (a) (b) (c) B. Adult Petitioner 1. Your petitioner is a resident of County, Alabama, and is over the age of nineteen years. 2. The name given your petitioner at birth was .3. At birth Petitioner was named and has: a lw ay s b een k now n b y t h at n am e, o r h as a ls o b een k now n b y th e fo llo w in g o th er n am es d urin g th e fo llo w in g p erio ds o f tim e (g iv e date s a n d b rie fly e x pla in c ir c u m sta n ces): 4. Your petitioner wishes to have his name changed to , and to be known henceforth by said name alone. 5. Petitioner is the Mother of the Minor Petitioners: (a) (b) (c) C. Minor Petitioner: 1. The name given your petitioners’ child at birth was . 2. The name by which your petitioners’ child has been known is .3. Your petitioners wish to have said child’s name changed to . D. Minor Petitioner: 1. The name given your petitioners’ child at birth was . 2. The name by which your petitioners’ child has been known is .3. Your petitioners wish to have said child’s name changed to . -E. Minor Petitioner: 1. The name given your petitioners’ child at birth was . 2. The name by which your petitioners’ child has been known is .3. Your petitioners wish to have said child’s name changed to . F. Petitioners have attached hereto Certified Copies of Birth Certificates for all Petitioners.WHEREFORE, your petitioner prays that your Honor take jurisdiction of this petition, and have such proceedings, and enter such orders and decrees as may be necessary in the premises in order to change your petitioner’s names as follows:From To Attorney for petitioner: NamePetitioner AddressAddressPetitioner AddressSTATE OF ALABAMA VERIFICATION____________ 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 know the contents thereof and that the facts alleged therein are true of his own knowledge.Subscribed and sworn before me this _____________________________________________ day of _________________, _________. Affiant-Petitioner_________________________________________________________________ Notary Public Affiant-Petitioner - BENCH NOTE Filed in the office of the Judge of Probate of ________________County, Alabama, prayer granted, and petition ordered recorded this ___________ day of ____________________. ___________________________________________ Judge of Probate BENCH NOTE Filed in the office of the Judge of Probate of ________________County, Alabama, this ______ day of __________________, 20______ and set for hearing the ____________ day of ________________________, 20______. ___________________________________________ Judge of Probate