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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: ______________________________________________


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


Petitioner's Address, Line 1

Petitioner's Address, Line 2

Subscribed and sworn to before me on this ____ day of __________________, 20_____.


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