CV-480, 01/09 Response of Non-Petitioning Parent to Name Change of Minor Child Under 14 247786.36, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional materials. Enter the name of the county in which this case was filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Enter the name of the minor child whose name is proposed to be changed as it is listed on the Petition . IN THE MATTER OF THE NAME CHANGE OF First Name Middle Name Last N ame Enter the case number. Amended Response of Non - P etitioning Parent to Name Change of Minor Child Under 14 Case No. Fill in your name. 1. My name is First Name Middle Name(s) Last Name Fill in your address. 2. My address is Fill in your relation to the minor child. 3. I am the mother father of the minor child under 14. current name. Fill in the name that the Petitioner wants the minor child to have. 4. I have received a copy of the P (under 14) name and a notice of hearing : From: First Name Middle Name(s) Last Name To: First Name Middle Name(s) Last Name Check one. If b, enter reasons you object to the name being changed. 5. a. (under 14) name being changed. b. (under 14) name being changed for the following reasons: STOP! Take this document to a Notary Public BEFORE you sign it. After you have been sworn by a Notary Public, sign and print your name and date the document in front of the Notary Public. Have the Notary Public sign and date the document. State o f County of Subscribed and sworn to before me on Notary Public/Court Official N ame Printed or Typed My commission/term expires: Petitioner Name Printed or Typed Date American LegalNet, Inc. www.FormsWorkFlow.com