Affidavit Of Consent To Name Change Of Minor By Birth Parent
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Affidavit Of Consent To Name Change Of Minor By Birth Parent Form. This is a Washington form and can be use in Thurston Local County.
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Tags: Affidavit Of Consent To Name Change Of Minor By Birth Parent, Washington Local County, Thurston
DISTRICT COURT FOR THURSTON COUNTY, WASHINGTON
IN THE MATTER of the Change of Name of )
No._________________
)
)
AFFIDAVIT OF CONSENT TO
)
______________________________________________)
STATE OF WASHINGTON
County of Thurston
NAME CHANGE OF MINOR BY
BIRTH PARENT
)
) ss.
)
The undersigned, being first duly sworn upon oath, states: I am the birth parent of
a minor whose current full name is:_______________________________________.
(Full current Name)
I have been informed that the petitioner in the above action wishes to change the
minor’s name to:____________________________________________________.
(Full Proposed New Name)
I hereby CONSENT to changing my child’s name to the proposed new name
shown above.
________________________________
Signature
________________________________
Please Print Your Full Name
SUBSCRIBED and SWORN to before me this_____ day of _____________, 20____.
_________________________________
NOTARY PUBLIC - State of Washington,
Residing at_______________________
My commission expires:_____________
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