Fill and Sign the Texas Service Form

CAUSE NO.       [To be filled in by Diitriitr Cleik’t Ofitee IN THE MATTER OF THE § IN THE DISTRICT COURT § OF § CHANGE OF NAME OF § __________________ COUNTY, TEXAS §       §       JUDICIAL DISTRICT [Your current, full, first, middle and last names] § [To be filled in by District Clerk’s Office] WAIVER OF SERVICE ____________________________________ 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 Original Petition for Change of Name of Minor filed in this case. I have read and understand the contents of that document. 3. I understand that the § 45.003 of the Texas Family Code entitled me to be served with citation. I do not want to be served with citation, and I waive the issuance and service of citation. 4. I 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:       c. Social Security number is:       d. My       Driver’s License No. is:       Waiver of Service Page 1 of 2 Signature       Type or Print Name SIGNED under oath before me on       Notary       Type or Print Name 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