Fill and Sign the Alabama Historical Quarterlyampampquot pdfFiller Form

STATE OF ALABAMA _______________________ ___ COUNTY Page 1 of 1 6/15 PETITION AND DECLARATION FOR CHANGE OF NAME OF MINOR CHILD IN THE PROBATE COURT OF ________________________ COUNTY , ALABAMA Case No.: IN RE: THE NAME CHANGE OF ______________________________ To The Honorable Judge Of Probate Of _______________________ County, Alabama: COME (S ) NOW _____________________ ______________ and ___________________________________, as : □ Parent (s), □ Guardian(s), □ Next of Friend , and represent(s ) to this Honorable Court as follows: 1. That the Minor’s present true, correct legal name is: _______________________________________________________________________________________________________. 2. The minor child is a bona fide resident of _________________________ County, Alabama, has resided in said county for __________ months preceding this petition and is residing at: _______________________________________________________________________________________________________. 3. That a true and correct certified copy of the minor child’s birth certificate is attached hereto; 4. That the Minor’s date of birth is _________________________ and the minor is _____ years of age; 5. That Petitioner (s) is /are the true and lawful legal guardian (s) of the minor child pursuant to law; 6. That there are no pending or prior civil legal case(s) involving the minor child, or the Petitioner regarding or involving the child, such as but not limited to: custody, visitation, child support, contempt, domestic vi olence, adoption, protection from abuse, termination of parental rights, delinquency or dependency in any state, territory or possession of the United States or any foreign country ; 7. That there is no federal, state, county, or other governmental agency th at has current or pending oversight, custody, or control over the minor child (such as the Department of Human Resources – DHR, Juvenile Court, District Court, Circuit Court, etc.); 8. That the Minor has never been convicted of a felony or crime involving moral turpitude, is not currently facing criminal charges, and has never been a criminal defendant, ward, delinquent, dependent or Child In Need of Supervision, in any federal, state, district or juvenile court in any state, territory or poss ession of the United States; and 9. That the Minor is not and has never been married ; 10. The name(s), relationship(s), age(s), and home or business address(es) of a/the person(s) known to the Petitioner(s) at the t ime of the filing of this Petition from whom (a) consent(s) to this Petition are required by law are as follows: Name/Relationship Age Home or Business Address ___________________________________________ _____ ____________________________________________ ___________________________________________ _____ ____________________________________________ ___________________________________________ _____ ____________________________________________ NOTE: if the Petitioner(s) cannot attest to the validity of any of the above statements, please explain as follows, or attach additional sheets to this petition: _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ WHEREFORE, THE PREMISES considered, the Petitioner (s) pray (s) that this Honorable Court will grant his/her/their prayer, and issue an Order changing the Minor’s name to: ____________ _____________________________________________ I, the undersigned authority, a Notary Public, in and for said County in said State, hereby certify that said Petitioner (s) whose name is /are signed to the foregoing instrument, and who is /are known to me, acknowledged before me on this day, that being informed of the contents of said petition, that he/she/they executed the same voluntarily on the day the same bears date. ______________________________________ ______________________________________ Petitioner Petitioner Address: _______________________________ Address: _______________________________ _______________________________ _______________________________ P hone: _______________________________ Phone: _______________________________ _______________________________________ _______________________________________ Signature of Minor if 14 years of age or older SEAL NOTARY PUBLIC My Commission Expires: