Last updated: 11/13/2009
Consent To Change Of Name {21.4}
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Description
Lorain County Probate Court Judge James T. Walther IN RE: CHANGE OF NAME OF ________________________________________________________ (Present Name) To __________________________________________________________________________________ (Name Requested) Case No. ________________________ CONSENT TO CHANGE OF NAME The undersigned ______________________________________________________________________________________ [check one of the following 3 capacities by which your consent is given] Mother Father Alleged Father hereby waives notice of the hearing on the Application for Change of Name and consents to the change of name of ____________________________________________________________________________________________________ to __________________________________________________________________________________________________ as proposed in the Application. __________________________________________ Sworn to before me and signed in my presence this _____ day of __________________________________, ____________ __________________________________________ Deputy Clerk/Notary Public FORM 21.4 - CONSENT TO CHANGE OF NAME 11/01/00 American LegalNet, Inc. www.FormsWorkFlow.com
