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Petition for Change of Name of Adult (South Carolina)

This is a petition to change your name in South Carolina. The form provided here is simply a sample of what the actual form looks like.

Petition for Change of Name of Adult

State of South Carolina County of ________________

Court _____________________________

Docket No. ________________________

Name of Petitioner: _____________________________

In re: Change of Name of Adult

From: _____________________________

To: _______________________________

Petitioner makes the following declaration:

1. Birth Date and Place:

Petitioner was born on _______________________, ______

In ________________________ [city],

________________________ [county],

________________________ [state].

A certified copy of petitioner's birth certificate is attached to
this petition.

2. Birth Name:

Petitioner was named __________________________________ at birth, and as of the date of this petition, the Petitioner has always been known by that name, with the following exceptions, if any:

______________________________________________

[list all legal names previously held].

3. Residence:

Petitioner resides at _______________________ [insert residential address]

And has lived at this address for ________ [insert length of time in months or years at this address].

4. Petitioner's Parents:

The father of the Petitioner is named ____________________________,

and he resides at ________________________________________ [insert residential address of father].

The mother of the Petitioner is named ____________________________,

and she resides at _______________________________________ [insert residential address of mother].

5. Reason for Name Change:

Petitioner seeks to change his or her name

to ____________________________________ and offers the following reason(s) for seeking to do so:

______________________________________________

______________________________________________

6. Legal and Creditor Status: Petitioner does not have any outstanding judgments, has never 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 further declares:

______________________________________________

[insert additional declarations, if any].


NOW, THEREFORE, the Petitioner requests that the court order the Petitioner's name changed as follows:

From: ____________________________________________

To: ______________________________________________


Verification

I, ______________________________________________ [name of Petitioner], affirm under penalty of perjury that I am the Petitioner in the foregoing Petition to Change Name of Adult and that all statements in this Petition are accurate 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

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