/Lake/Probate/Name%20Change/Consent%20To%20Change%20Of%20Name%20%7B21.4%7D_firstPage.jpg?AWSAccessKeyId=AKIAJKLRW4A3X2WJFD7Q&Expires=1731839213&Signature=MTQB3MPC3HNDM8S21%2BY1jDBaEZY%3D)
Last updated: 5/8/2020
Consent To Change Of Name {21.4}
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Description
MARK J. BARTOLOTTA, JUDGE PROBATE COURT OF LAKE COUNTY, OHIO 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 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 Print Reset American LegalNet, Inc. www.FormsWorkFlow.com
