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Petition for Change of Name of Minor
 State of New HampshireCounty of ________________ Court _____________________________ Docket No. ________________________ Name of Petitioner(s): In re: Change of Name of Minor _____________________________  _____________________________ From: _____________________________ To: _______________________________ Petitioner(s) makes (make) the following declaration:
1. Birth Date and Place:
The minor was born on _______________________, 20____ in ________________________ [city], ________________________ [county], ________________________ [state]. A certified copy of the minor's birth certificate isattached to this petition.
2. Birth Name:
The minor was named ____________________________________________ at birth, and as of the date of thispetition, the minor has always been known by that name, with the following exceptions, if any: __________________________________________________________________________  ___  __________________________________________________________________________  ___  __________________________________________________________________________  ___ [list all legal names previously held].
3. Residence:
The minor resides at __________________________________________________________________________  ___ [insert the minor's residential address] and has lived at this address for ________ [insertlength of time in months or years at this address]. The Petitioner(s) resides (reside) at __________________________________________________________________________  ___ [insert residential address] and has (have) lived at this address for ________ [insertlength of time in months or years at this address].
4. Minor's Parents:
The father of the minor is named ______________________________________________, and he resides at __________________________________________________________________________  ___ [insert residential address of father]. The mother of the minor is named ______________________________________________, and she resides at __________________________________________________________________________  ___ [insert residential address of mother].
5. Reason for Name Change:
Petitioner(s) seeks (seek) to change said minor's name to ______________________________________________ and offers (offer) the followingreason(s) for seeking to do so: __________________________________________________________________________  ___  __________________________________________________________________________  ___  __________________________________________________________________________  ___.
6. Legal and Creditor Status:
The minor does not have any outstanding judgments, hasnever been convicted of a crime, and is not involved in any pending legal actions.
7. Additional Declarations:
In addition to the foregoing statements, the Petitioner(s) furtherdeclares (declare):
 
 __________________________________________________________________________  ___  __________________________________________________________________________  ___  __________________________________________________________________________  ___ [insert additional declarations, if any].
NOW, THEREFORE,
the Petitioner(s) requests (request) that the court order the minor'sname changed as follows:From: ____________________________________________ To: ______________________________________________ 
Verification (Petitioner #1)
 I, __________________________________________________________________________  ___  __________________________________________________________________________  ___ [name of Petitioner], affirm under penalty of perjury that I am the (a) Petitioner in theforegoing Petition to Change Name of Minor and that all statements in this Petition areaccurate to the best of my knowledge. _____________________________________________ _________________ Petitioner's Signature Date _____________________________________________ Petitioner's Address, Line 1 _____________________________________________ Petitioner's Address, Line 2
Verification (Petitioner #2, if any)
 I, __________________________________________________________________________  ___  __________________________________________________________________________  ___ [name of Petitioner], affirm under penalty of perjury that I am the (a) Petitioner in theforegoing Petition to Change Name of Minor and that all statements in this Petition areaccurate to the best of my knowledge. _____________________________________________ _________________ Petitioner's Signature Date _____________________________________________ Petitioner's Address, Line 1 _____________________________________________ Petitioner's Address, Line 2
 
 Subscribed and sworn to before me on this ____ day of __________________, 20_____. __________________________________ Notary
- - - - Consent to Change of Name of Minor Form - - - -
(
Note:
The grey box below is not a part of the Petition and is included for informational purposes only. You should not includethe grey box as part of this document.)
 About this Consent to Change of Name of Minor Form:
The following consent form mayaccompany the Petition for Change of Name of Minor if needed. Contact the court clerk in thecounty in which the minor resides to determine whether this consent is required.
Consent to Change of Name of Minor
 State of New HampshireCounty of ________________ Court _____________________________ Docket No. ________________________ Name of Petitioner(s): In re: Change of Name of Minor _____________________________  _____________________________ From: _____________________________ To: _______________________________ I make the following declaration:
1. Name:
My name is ____________________________________________, and as of thedate of the signing of this Consent, I have always been known by that name, with thefollowing exceptions, if any: __________________________________________________________________________  ___  __________________________________________________________________________  ___  __________________________________________________________________________  ___ 
2. Residence:
I reside at __________________________________________________________________________  ___ [insert the residential address] and have lived at this address for ________ [insert lengthof time in months or years at this address].
3. Consent to Change of Name of Minor:
I am fully informed of the legal consequencesand effects, and I give my consent to the request of the Petitioner(s) to change the name ofsaid minor child as follows:From: ____________________________________________ To: ______________________________________________ 
Verification
 I, __________________________________________________________________________  ___  __________________________________________________________________________  ___ [name of individual granting his or her consent], affirm under penalty of perjury that allstatements in this Consent to Change of Name of Minor are accurate to the best of myknowledge.
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