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Petition For Name Change (Minor) Form. This is a Idaho form and can be use in District Court Statewide.
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Tags: Petition For Name Change (Minor), CAO 12-1A, Idaho Statewide, District Court
Full Name of Party Filing This Document
Mailing Address (Street or Post Office Box)
City, State and Zip Code
Telephone Number
IN THE DISTRICT COURT FOR THE
JUDICIAL DISTRICT OF
THE STATE OF IDAHO AND IN FOR THE COUNTY OF
Case No.: ___________________
IN RE:
___________________________________,
PETITION FOR NAME CHANGE
(MINOR)
Legal Name of Child.
Fee Category: ____________
Filing Fee: ____________
STATE OF IDAHO
County of
)
) ss.
)
I swear under oath:
1. I am the [ ] parent [ ] legal guardian of the above child. My full legal name and current
residence are listed above.
2. The child was born on (date) _______________________, ________, in the city of
, State of
____________________, County of
resides at _________________________
3. a. [
[
] The child’s father is living.
, and
.
or
] The child’s father is not living and the names and addresses of his closest blood
relatives are:
.
b. [ ] The child’s mother is living. or
[
] The child’s mother is not living and the names and addresses of her closest blood
relatives are:
PETITION FOR NAME CHANGE (MINOR)
PAGE 1
CAO 12-1A 2/25/2005
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.
___________
4. I want to change the child’s name to
because
_________________.
5. The name change is not to avoid creditors or outstanding debts. The child is not
required to register as a convicted sexual offender under Chapter 83, Title 18, Idaho Code, or
under the provisions of similar laws enacted by another state.
I ask that a Deputy Clerk of the Court issue a Notice of Hearing to be published
for four (4) successive weeks in the_______________________________________________,
a newspaper printed in this County; and the Judge sign an Order changing the child’s name as I
have asked.
Date:
By: _____________________________
Signature of Petitioner
Typed/Printed Name of Petitioner
SUBSCRIBED AND SWORN to before me on this
day of ______________, 20_____.
Notary Public for Idaho
Residing at:
My Commission expires:
PETITION FOR NAME CHANGE (MINOR)
PAGE 2
CAO 12-1A 2/25/2005
American LegalNet, Inc.
www.USCourtForms.com