Georgia Name Change Forms – How to Change Your Name in GAGeorgia Name Change Forms – How to Change Your Name in GA
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IN THE SUPERIOR COURT OF ______________ COUNTY
STATE OF GEORGIA
In re the Name Change of:

Civil Action

,
Petitioner.

Case Number

PETITION TO CHANGE NAME OF ADULT
The Petitioner files this Petition to Change Name of Adult, and states the following
in support of the petition:
1)
, and she or he resides
The Petitioner’s name is
in _______________ County, Georgia. Therefore, jurisdiction and venue are proper in
this Court.
2)
:

The Petitioner was born on
[Check and complete only one of the following.]

County, State of

 in

, U.S.A.

 outside the United States, in

.

3)
The Petitioner wants to change his or her name from
to

Petition to Change Name of Adult — Rev. April 2008

.

Page 1 of 2

4)
[Explain here why you want to change your name.]

The reasons for this name change are as follows:

5)
The Petitioner does not intend to use this name change to fraudulently deprive
anyone of any right under the law.

THEREFORE, the Petitioner asks that the Petitioner’s name be changed as