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Petition To Correct Birth Certificate - Tennessee

Petition To Correct Birth Certificate Form. This is a Tennessee form and can be used in Chancery Court Davidson Local County .
 Fillable pdf Last Modified 2/27/2014
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IN THE CHANCERY COURT FOR DAVIDSON COUNTY, TENNESSEE PETITION TO CORRECT ERROR IN BIRTH CERTIFICATE IN RE:________________________ (Parent's Name) Docket No. _____________ Pursuant to Tennessee Code annotated ยง29-8-101 et seq., the Petitioner seeks to correct an error in a birth certificate. After first being duly sworn that the following facts are correct and complete: 1. I am a resident of Davidson County, Tennessee and live at ____________________________________________________. (must provide proof of residency) Our child's full name is _______________________________________________________. 2. Our child was born on ________________________________________. 3. All other names and aliases by which I have been identified since birth are (list in chronological order): _______________________________________ _____________________________________________ _____________________________________________ _____________________________________________ 4. I am requesting a change or correction on the above named child's birth certificate for the following reasons: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 5. I am requesting my name to be corrected from ______________________________ to __________________________________________________ (print neatly). 1 American LegalNet, Inc. www.FormsWorkFlow.com 6. Have you ever been convicted of a felony? If the answer is yes, complete the following: G Yes G No I was convicted of the felony of _________________________________________ on _____________________ (date). 7. In support of this Petition, attached are copies of: our child's birth certificate G our photo identification G (such as a driver's license, passport or comparable photo identification) social security card G We swear or affirm that we have read the Petition and the facts are correct and complete. Petitioner ______________________________ Father ______________________________ Mother Sworn to and subscribed before me this _____ day of _______________________________, 20 ___. Cristi Scott, Clerk and Master / Notary _______________________________________ Deputy Clerk My commission expires __________________________________. 2 American LegalNet, Inc. www.FormsWorkFlow.com
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