Name of Person Filing: Street Address: City, State, Zip Code: Telephone Number: Email Address: ATLAS Number (if applicable) Representing Self (No Attorney) If Attorney, Bar Number: or Represented by Attorney SUPERIOR COURT OF ARIZONA PINAL COUNTY In the Matter of: CASE NUMBER: CV2 CONSENT OF SPOUSE TO NAME CHANGE OF AN ADULT AND WAIVER OF NOTICE Name of Applicant HONORABLE: REQUIRED INFORMATION FROM SPOUSE, UNDER OATH: 1. INFORMATION ABOUT ME: Name: Address: Telephone: Date of Birth: I am the spouse of the applicant. 2. I have read the Application for Name Change and I consent to my spouse changing their name to: (First) (Middle) (Last) 3. I waive notice of all further proceedings in this matter. Page 1 of 2 CV_CNCAWN_COSCPinal_04.09.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com OATH OF SPOUSE: STATE OF ARIZONA COUNTY OF PINAL ) ) ss. ) I have read, understood, and completed the above statements. Everything I have said is true and correct to the best of my knowledge, information and belief. (Applicant's Signature) SUBSCRIBED AND SWORN TO before me this day of 20 By My Commission Expires: (Deputy Clerk/Notary Public) Page 2 of 2 CV_CNCAWN_COSCPinal_04.09.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com