Fill and Sign the Court of Indian Offences Choctaw Nation Form

Verified Petition for Change of Name of Minor Page 1 of 3 IN THE DISTRICT COURT OF __________________ COUNTY STATE OF OKLAHOMA IN THE MATTER OF ) )Case No. _________________ ) Minor Petitoner) ) VERIFIED PETITION FOR CHANGE OF NAME OF MINOR Petitioner makes the following declaration:1. The minor was born on , in the City of , County of , in the State of . A certified copy of the minor’s Birth Certificate – No. , Registered in the State of ; Lawful Permanent Resident Card; or Certificate of Naturalization/Citizenship is attached to this petition. 2. The minor was named at birth, and as of the date of this petition, the minor has always been known by that name with the following exceptions, if any: [insert all previous names used and describe the circumstances] 3. The minor resides at and has lived at this address for [insert length of time in months and years that the minor has lived at the above address.] 4. The father of the minor is named , and he resides at [insert residential address of father] The mother of the Petitioner is named and she resides at Verified Petition for Change of Name of Minor Page 2 of 3 [insert residential address of mother]. 5. Petitioner seeks to change said minor’s name to: for the following reason(s): 6. The minor does not have any outstanding civil judgments, has never been convicted of a crime, and is not involved in any pending legal actions.7.That this Petition is submitted by the:a. mother father both mother and father of the Minor petitioner; b. mother father of the Minor Petitioner and the parent not joining in the Petition has signed a Consent to Name Change of Minor; c. mother father and the parent not joining in the Petition is deceased; mother father and the parent not joining in the Petition is known but whose location is unknown and the petitioning parent has been unable to locate the absent parent. 8. In addition to the foregoing statements, the Petitioner(s) further declares: [insert any additional declarations, if any]. THEREFORE, the Petitioner requests that the court order the minor’s name changed as follows: From: To: State of OklahomaCounty of COMES NOW, Petitioner(s) , and being first duly sworn, deposes and states that he is the petitioner in the above-entitled action, that he has read the foregoing Verified Petition for Change of Name of Adult and voluntarily executed the same, and Verified Petition for Change of Name of Minor Page 3 of 3 that he knows the contents thereof to be true, except as to those items stated on information, and believes those items to be true. ____________________________________ Petitioner ____________________________________ Petitioner SUBSCRIBED AND SWORN TO before me this ________ day of ________________, 20 _____ by . (Seal)Notary PublicMy commission expires: Type or Print Name