Person Filing: Mailing Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO In the Matter of (list children's current legal names): Case Number (leave blank): PETITION FOR MINOR NAME CHANGE Minors I ask the court to change my children's names as follows. Each child is my natural or adopted child and lives in Coconino County. Child's Current Legal Name: New Name: Birthdate: Child's Current Legal Name: New Name: Birthdate: Child's Current Legal Name: New Name: Birthdate: I ask for this name change because: Birthplace: Birthplace: Birthplace: The other parent has not signed this Petition. I will serve this Petition on the other parent. The Other Parent's Name: The Other Parent's Address: Page 1 of 2 Revised May 2014 American LegalNet, Inc. www.FormsWorkFlow.com � 2014 Coconino County Law Library I'm asking for this name change only because it's in the children's best interest. I understand it will not change any rights or obligations under the original name. I understand this name change does not establish paternity and won't cause a father's name to be added to a birth certificate. OATH AND VERIFICATION: I've read this Petition. It's true and complete to the best of my knowledge. My Signature: State of Arizona County of Subscribed and sworn before me this date: Seal: ) ) ) by: Notary Public: Notary Expiration Date: Page 2 of 2 Revised May 2014 American LegalNet, Inc. www.FormsWorkFlow.com � 2014 Coconino County Law Library