SUPERIOR COURT OF FULTON COUNTY STATE OF GEORGIA FAMILY DIVISION , v. Petitioner, , Respondent. VERIFICATION I, ___________________________, personally appeared before the undersigned notary public and, being duly sworn, state that the facts stated in the foregoing Petition are true and correct. This ___ day of ______________________, ______(year) Civil Action Case Number ______________________________ Signature Name:_________________________ Address________________________ Telephone:______________________ Email: _________________________ Sworn to before me this ___ day of _____________, 20__. ___________________________ Notary Public Petition to Change Name(s) of Minor Child(ren) - Rev. October 2015 Provided by the Fulton Family Law Clinic American LegalNet, Inc. www.FormsWorkFlow.com