Consent to Minor Child222s Name Change, Page 1 of 2 251 2008 Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association. Use of this form is restricted to not-for-profit purposes. Last updated 05/14/2008 Montana Judicial District Court Number of the Judicial District where you are filing County Name of the county where you are filing In the Matter of the Name Change of : Child222s full name now , Petitioner (your name), on behalf of , Minor Child (child222s name now). Cause No.: Dept. No.: Consent to Minor Child222s Name Change STATE OF MONTANA ) ): ss COUNTY OF ) County you222re in now I, , being first duly sworn upon oath depose and say that: Your full name 1. I am the Mother/ Father/ Guardian of (child222s current full name:) First Middle Last American LegalNet, Inc. www.FormsWorkFlow.com Consent to Minor Child222s Name Change, Page 2 of 2 251 2008 Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association. Use of this form is restricted to not-for-profit purposes. Last updated 05/14/2008 2. I agree that the child222s name should be change to (child222s new full name:) First Middle Last Date: Signature: mm/dd/yyyy Sign here Print Name: SUBSCRIBED AND SWORN to before me this day of , 20. Name (printed): (Seal) Notary Public for the State of Montana Residing at My Commission Expires American LegalNet, Inc. www.FormsWorkFlow.com