Consent Of Parent To Name Change Of Other Parent And Waiver Of Notice | Pdf Fpdf Doc Docx | Arizona

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Consent Of Parent To Name Change Of Other Parent And Waiver Of Notice | Pdf Fpdf Doc Docx | Arizona

Last updated: 7/18/2011

Consent Of Parent To Name Change Of Other Parent And Waiver Of Notice

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Description

For Clerk's Use Only Name of Person Filing: ____________________________________ Mailing Address: ____________________________________ City, State, Zip Code: ____________________________________ Daytime/Evening Phone Number: ____________________________________ ATLAS Number (if applicable) ____________________________________ Attorney Bar Number (if applicable) ____________________________________ Self or Represented by by Attorney SUPERIOR COURT OF ARIZONA MOHAVE COUNTY In the Matter of ____________________________________ Name of Applicant (Person Requesting Name Change) Case Number: CONSENT OF PARENT TO NAME CHANGE OF OTHER PARENT AND WAIVER OF NOTICE REQUIRED INFORMATION FROM PARENT, UNDER OATH OR AFFIRMATION: 1. INFORMATION ABOUT ME: Name: _____________________________________________________________________________ Address: ___________________________________________________________________________ Telephone: ________________________ Date of Birth: _______________________ Month ______________________ Date __________________ Year The applicant and I have at least one child in common. 2. I have read the Application for Name Change and consent to changing the other parent's LEGAL name to new name of: First:______________________ Middle:____________________ Last:_________________________ 3. I waive notice of all further proceedings in this matter. OATH OR AFFIRMATION OF CONSENTING "OTHER PARENT" STATE OF ARIZONA ) COUNTY OF MOHAVE ) ss. The contents of this document are true and correct to the best of my knowledge and belief. Signature: _______________________________________ Date: ______________________ Sworn to or affirmed before me on this ______________________ day of _________________, 20__________ By: ___________________________________ My Commission Expires: ______________________ _____________________________________ Notary Public or Deputy Clerk 1/11/2010 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com

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