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Petition For Minors Name Change Form. This is a Washington form and can be use in Thurston Local County.
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Tags: Petition For Minors Name Change, Washington Local County, Thurston
DISTRICT COURT FOR THURSTON COUNTY, WASHINGTON
IN THE MATTER of the Change of Name of
)
No. ____________________
)
)
PETITION FOR MINOR'S NAME CHANGE
Petitioner is a resident of Thurston County, Washington. Petitioner does not seek this name change to defraud or
mislead any person. Petitioner declares further: (check all boxes that pertain to you)
I wish to change my minor’s name from: _____________________________________________________
to: _____________________________________________________
Both parents of the minor child have consented to changing the child’s name.
Both parents of the minor child have not consented to changing the child’s name, but Petitioner will file proof
with this Court before entry of the Order Changing Name that the nonconsenting parent has been served with a
copy of Notice of Hearing for Name Change in person or by publication or proof that the other parent is
deceased.
Minor is currently under the jurisdiction of the Department of Corrections (DOC) and will submit a copy of the
Petition for Name Change to DOC at least five (5) days prior to this hearing.
Minor is subject to registration requirements as a sex offender and will submit a copy of this application to the
sheriff of petitioner’s county of residence and to the Washington State Patrol at least five (5) days prior to this
hearing.
A
the minor’s birth certificate is presented at the time of the hearing with this petition.
This application is made for the following reasons. Include reasons why the requested name change will promote the
minor’s best interests.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing statements in this petition are
true and correct and that I have checked all boxes that pertain to me.
Signed at
(City and State)
_____________________________________________
(Print Petitioner’s Name)
A hearing on this Petition will be held on
, on
(Date)
____
(Signature)
at
[ ] am [ ] pm
Any minor over the age of 10 whose name is requested to be changed must be present in person at the hearing.
Check calendars in the lobby for location of courtroom.
Rev 03/05
American LegalNet, Inc.
www.USCourtForms.com
