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Fill and Sign the Verification for Adult Name Change Georgia Form

Fill and Sign the Verification for Adult Name Change Georgia Form

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IN THE SUPERIOR COURT OF       COUNTY STATE OF GEORGIA In re the Name Change of: Civil Action File No:       Petitioner:       V ERIFICATION I,       , personally appeared before the undersigned Notary Public, and say under oath that I am the Petitioner in the above- styled action and that the facts stated in the Petition to Change Name (of an Adult) are true and correct. This the       d ay of       , 20       . (Sign your name here in front of the Notary)       Print or Type Name Petitioner's address:                   Petitioner's telephone number Sworn to and subscribed before me, this       day of       , 20       .       NOTARY PUBLIC (Notary Seal) My Commission Expires:       1

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