Colorado > Statewide > Name Change
Petition For Change Of Name (Minor Child) JDF 421 - Colorado
| Petition For Change Of Name (Minor Child) Form. This is a Colorado form and can be used in Name Change Statewide . |
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County Court District Court Denver Juvenile Court _________________________________ County, Colorado Court Address: In the Matter of the Petition of: Parent/Petitioner: Minor Child: to change the child's name to: Attorney or Party Without Attorney (Name and Address): for: COURT USE ONLY Case Number: Phone Number: FAX Number: E-mail: Atty. Reg. #: Division Courtroom PETITION FOR CHANGE OF NAME (MINOR CHILD) 1. Information regarding the minor child: Full Name of Minor Child (First, Middle and Last) Mailing Address Date of Birth 2. The minor child is a resident of County, Colorado. 3. I____________________________ wish to change the name of the minor child to _____________________ First Name _____________________ ___________________________________ My relationship to the child is_________________. Middle Name Last Name 4. The proposed change would be proper and not detrimental to the interests of any other person and in the best interest of the minor child. 5. The reason for the change of name is 6. The child is is not the subject of a child support, allocation of parental responsibilities, or parenting time action. (case number), (name of Court). (type of case) and If so, please identify 7. The minor child (if 14 years of age or older), has not been adjudicated as a juvenile delinquent for an offense that would constitute a felony if committed by an adult in this state or any other state or under federal law. The fingerprintbased criminal history record check for the minor child is attached as Exhibit A and is conducted within 90 days prior to the filing of this Petition. The required notice to the non-custodial parent has been accomplished by: notice (JDF 422) consent ( JDF 423) or request to publish(JDF 424) and is filed with this petition 8. I, swear/affirm under oath that I have read the foregoing Petition and that the statements contained in this Petition are true to the best of my knowledge and belief. Date: __________________________ __________________________________________________ Signature of Petitioner _________________________________________________ Address __________________________________________________ City, State, Zip Code __________________________________________________ Telephone #: (home) (work) (cell) Subscribed and affirmed, or sworn to before me in the County of ______________________, State of ________________, this ___________ day of _______________, 20 ______. My Commission Expires: ________________________ ___________________________________ Deputy Clerk/Notary Public JDF 421 R7-12 PETITION FOR CHANGE OF NAME (MINOR CHILD) © 2012 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com
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