Fillable Lorain County Probate Court Judge James T. Walther

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Lorain County Probate Court Judge James T. Walther

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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 CHANG
E OF NAME 11/01/00
Judge James T. Walther
Lorain County Probate Court
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Lorain County Probate Court Judge James T. Walther

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Completed 27 March 2021

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