DEKALB COUNTY SUPERIOR COURTSTATE OF GEORGIA ,Petitioner,vs. ,Respondent.Civil Action Case Number PETITION FOR LEGITIMATIONThe Petitioner files this action, and states the following in support of his petition:1.I believe I am the father of the following minor child(ren), born out of wedlock:Current Name of ChildMale / FemaleYear of Birth2.Jurisdiction and venue are proper in this Court because:[Check and complete only one of the following, (a) through (e) of this paragraph.If none of these applies, you cannot file for legitimation in DeKalb County.]G (a)the Respondent mother resides in DeKalb County, Georgia.G (b)the Respondent mother resides in Georgia outside DeKalb County, but the child or Ireside in DeKalb County, and the mother has consented to venue here.G (c)the Respondent mother resides outside the State of Georgia and the child or I reside inDeKalb County, Georgia.G (d)the whereabouts of the Respondent mother are unknown and the child or I reside inDeKalb County, Georgia.G (e)the mother of the child is deceased and the child or I reside in DeKalb County, Georgia.Petition for Legitimation (Solo Version) 227 Rev. July 18, 2005 - Tech. Rev. 10-2015 & 5-2017Page 1 of 4Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society American LegalNet, Inc. www.FormsWorkFlow.com 3. The Respondent, , is the child222s mother. [Check and complete only one of the following.] G (a)The mother222s address is .G (b)The mother is deceased.4. No other man is shown as the father on the birth certificate, and the mother was notmarried to any other man at the time of the child222s conception or birth.5.[Check and complete all that apply below.]The child lives with the following person who takes care of the child:G (a)The Respondent / motherG (b)The Petitioner / father G (c)Neither the child222s mother nor the Petitioner. Instead, the child lives with , whose relationship to the child is . They reside at the following address: in County, in the State of .6.My paternity of the child has been established by a court or by operation of law based onthe child222s birth certificate or, if paternity has not been legally established, I state that I am thechild222s natural father. I want to legitimate my relationship with the child, as provided in OCGA24719-7-22, so that the child will have full rights as my child, and I will have full rights as thefather of the child. I believe that legitimation would be in the child222s best interests.Petition for Legitimation (Solo Version) 227 Rev. July 18, 2005 - Tech. Rev. 10-2015 & 5-2017Page 2 of 4Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society American LegalNet, Inc. www.FormsWorkFlow.com 7.[Check and complete all that apply below.]I want the birth records of the child to be changed as follows:G (a)I want the child222s last name to be changed on the birth record to my last name.G (b)I want my name to be entered as the father on the birth record.G (c)No changes are necessary on the birth record concerning either the father222s name or thechild222s last name.8.[Check and complete part (a) or part (b), but not both.]G (a)There is already a child support order concerning the child. The current order was issued by the Court / Agency in court case number . It requires me to pay $ per .G (b)There is currently no child support order concerning the child.THEREFORE, the Petitioner asks:[Check and complete only the ones that apply below.]G (a)That process issue and the Respondent be served with a copy of this Petition forLegitimation;G (b)That the Court order service by publication for the Respondent mother, whose address isunknown. I am filing my Affidavit(s) of Diligent Search with this Petition, andincorporate it here by reference.G (c)I ask that the Court enter an Order legitimating my relationship with the child, so thatthe child will be recognized as my legitimate child, capable of inheriting in the samemanner as if born in lawful wedlock;G (d)That the last name of the child be changed to my last name;G (e)That the Department of Vital Statistics be ordered and directed to amend the child222s birthrecord and to reissue the birth certificate as follows:[If you checked (e) here, you must also check and complete all that apply out of the two below.]G (1)entering my name as the father on the birth recordG (2)changing the child222s last name to my last name.G (f)I ask that the Court enter an Order providing for specific, liberal visitation privileges forme with the minor child.Petition for Legitimation (Solo Version) 227 Rev. July 18, 2005 - Tech. Rev. 10-2015 & 5-2017Page 3 of 4Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society American LegalNet, Inc. www.FormsWorkFlow.com G (g)I ask that the Court enter an Order granting the following custody: G (1)Joint legal custody of the minor child to be shared between the parents, withshared decision-making authority and full access to all information concerningthe child222s education, religious training and medical care.G (2)Sole legal and physical custody of the minor child to me.G (h)That the Court grant such other and further relief as the Court deems fair and proper. Dated: Petitioner, Pro se (Signature) Name: Address: Phone (day): ( ) Email: VERIFICATION My name is and I am the Petitioner in thisaction. I hereby swear or affirm, before a notary public, that I have read this Petition forLegitimation, which I am filing in court with this Verification, and the facts stated in thedocument are true.Subscribed and sworn before me on , 20 . Notary Public Petitionerpro se Legitimation Petition solo - Tech rev 2015-102017-05.wpdPetition for Legitimation (Solo Version) 227 Rev. July 18, 2005 - Tech. Rev. 10-2015 & 5-2017Page 4 of 4Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society American LegalNet, Inc. www.FormsWorkFlow.com