SUPERIOR COURT OF FULTON COUNTY STATE OF GEORGIA In re the Name Change of: Civil Action , Case Number Petitioner. NOTICE OF PETITION TO CHANGE NAME OF ADULT filed a petition in the Superior Court of Fulton County on , 20 , to change the name from: to . Any interested party has the right to appear in this case and file objections within 30 days after the Petition was filed. Dated: _ Petitioner, Pro se (Signature) Name: Address: Email: IF YOU DO NOT HAVE AN EMAIL ADDRESS, FILL OUT A CERTIFICATE OF NO EMAIL ADDRESS Phone (day): ( ) Notice of Petition to Change Name of Adult -- Rev. Sept. 2015 Provided by the Fulton Family Law Information Center American LegalNet, Inc. www.FormsWorkFlow.com