Consent To Change Of Name
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Consent To Change Of Name Form. This is a Ohio form and can be use in Lake County (Court Of Common Pleas).
Tags: Consent To Change Of Name, 21.4, Ohio County (Court Of Common Pleas), Lake
TED KLAMMER, JUDGE
PROBATE COURT OF LAKE COUNTY, OHIO
IN RE: CHANGE OF NAME OF ____________________________________________________________
(Present Name)
To _______________________________________________________________________________________
(Name Requested)
Case No. ______________________
CONSENT TO CHANGE OF NAME
The undersigned ____________________________________________________________________________
[check one of the following 3 capacities by which your consent is given]
Mother
Father
Alleged Father
hereby waives notice of hearing on the Application for Change of Name and consents to the change of name of
_________________________________________________________________________________________
to _______________________________________________________________________________________
as proposed in the Application.
______________________________
Sworn to before me and signed in my presence this _____ day of ____________________________, ________
____________________________________
Deputy Clerk/Notary Public
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