Petition For Change Of Name (Minor) (District II)
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Petition For Change Of Name (Minor) (District II) Form. This is a Washington form and can be use in Clallam Local County.
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Tags: Petition For Change Of Name (Minor) (District II), Washington Local County, Clallam
CLALLAM COUNTY DISTRICT COURT II
STATE OF WASHINGTON
Mailing Address: 502 E Division
Forks, WA 98331
360-374-6383
In the Matter of the Change of Name of:
NO.
______________________________________,
PETITION FOR CHANGE OF NAME
(MINOR)
Minor Child
_____________________________________________,
By Guardian (Petitioner)
COMES NOW _____________________as guardian of minor child ________________________ and
petitions the above-entitled court for and order changing minor child’s name to _____________________
and shows the court as follows:
1. Minor child was born on the ______ day of ____________________ ____________, in
____________ County, State of ______________________; is a resident of Clallam County,
Washington; and is a citizen/legal resident of the United State of America.
2. Minor child has been known as ______________________________ for a period of ___________
and requests this court to change his/her name to ____________________________________ for the
reason that:
3. This petition is in the best interest of the minor child and not made for any illegal or fraudulent
purpose, but for the bona fide purpose of changing the minor child’s name to the name by which
he/she has been and prefers his/her name to be referred.
WHEREFORE, petitioner requests that minor child’s name be changed by order of this court from
__________________________________ to ___________________________________.
______________________________________
Petitioner
STATE OF WASHINGTON )
) ss.
COUNTY OF CLALLAM )
__________________________, being first and duly sworn, upon oath, deposes and says that : I am the
petitioner above-named and I have read the foregoing Petition for change of Name, know the contents
thereof and believe the same to be true.
______________________________________
Petitioner
Subscribe and sworn to before me this ____ day of ___________________ _______.
______________________________________
Notary Public in and for the State of ____________
Residing in ____________________________(city)
My appointment expires:______________________
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