Fill and Sign the South Carolina Change Form

STATE OF SOUTH CAROLINA ) IN THE FAMILY COURT OF THE )       JUDICIAL CIRCUIT COUNTY OF       ) ) )       and ) WAIVER OF SERVICE ) AND CONSENT       ) Plaintiff(s) ) Docket No.             appeared in person before me today and stated under oath: 1. I,       , am the Father Mother Guardian other, specify       of the minor who is the subject of the above entitled Name Change action. 2. I acknowledge that I have been provided a copy of the Complaint for Name Change and Amendment of Birth Certificate filed in this case. I have read and understand the contents of that document. 3. I understand that the §15-49-10(B) of the South Carolina Code entitled me to be served with the Complaint. I do not want to be served with the Complaint and I formally waive service of the Complaint. 4. I hereby enter my appearance in this case for all purposes and waive further notice of proceedings in this action. 5. I further state that the following information is correct: a. Mailing Address: Street address:       City, State, Zip:       b. Telephone Number:       Signature       Type or Print Name Waiver of Service Page 1 of 2 STATE OF       COUNTY OF       The foregoing instrument was acknowledged before me this __________________ (date) by ____________________________________ (name of person acknowledged). ____________________________________ Notary Public Print Name:       My commission expires:       I, the notary public whose signature appears above, certify that I am not an attorney in this case. Notary Waiver of Service Page 2 of 2