Consent Of Minor To Name Change (If Minor 14 Or Older) {CVNC13f}

Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent For Clerk's Use Only SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of: Case Number: CONSENT OF MINOR TO NAME CHANGE A Minor (If minor is 14 or older) REQUIRED INFORMATION FROM MINOR, UNDER OATH OR AFFIRMATION 1. INFORMATION ABOUT ME: Name on Birth Certificate: First Address: Telephone: Date of Birth (Month / Day / Year): Month Date Year Middle Last Place of Birth (City, State, Nation): City State Nation I am the minor who is the subject of this name change request. I am at least 14 years of age. © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 1 of 2 CVNC13f 050115 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Case Number: _____________ 2. I have read the Application for Name Change and consent to changing my legal name to: First Middle Last 3. I waive notice of all further proceedings in this matter. UNDER OATH OR BY AFFIRMATION I swear or affirm under penalty of perjury that the contents of this document are true and correct to the best of my knowledge and belief. Date Minor's Signature (If 14 or older) Printed Name STATE OF COUNTY OF Subscribed and sworn to or affirmed before me this: (date) . by (notary seal) Deputy Clerk or Notary Public © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 2 of 2 CVNC13f 050115 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com