Fill and Sign the Sc Change Name Form

STATE OF SOUTH CAROLINA ) IN THE FAMILY COURT OF THE ) ____________ JUDICIAL CIRCUIT COUNTY OF _______________ ) ) ) EX PARTE: ) PETITION FOR NAME CHANGE ) AND AMENDMENT OF BIRTH       ) CERTIFICATE Plaintiff ) Docket No. ______________ The Plaintiff was born in ________________________ County, State of ________________________ on ________________________ , and presently resides in the County of ________________________ , State of South Carolina. The Plaintiff’s legal name is       . The Plaintiff desires to change his/her name to       . The Plaintiff desires the name for the following reasons:             The Plaintiff has no intention to defraud anyone or to avoid creditors by virtue of the name change. The Plaintiff respectfully requests this Court, pursuant to Section 15-49-10 of the South Carolina Code Ann. (1976), to change his/her name from       to       . Plaintiff’s Address: ____________________________________ Plaintiff             Dated:             , South Carolina       Telephone No. ____________ STATE OF SOUTH CAROLINA ) ) VERIFICATION COUNTY OF __________________ ) ______________________________ , being duly sworn, says that he/she is the Plaintiff (or ________________________ ) herein, and that he/she has read the foregoing complaint (or ________________________ ) and knows the contents thereof; that the same is true of his/her own knowledge, except as to matters therein stated to be alleged on information and belief; and to those matters he/she believes them to be true. SWORN to and Subscribed before me ) ) This ______ day of ____________ , 20 ______ . ) ) ________________________ ______________________________ ) Notary Public for South Carolina ) My Commission expires ____________ )