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 ________________
Docket No. ________________________
Name of Petitioner: _____________________________
In re: Change of Name of Adult
Petitioner makes the following declaration:
1. Birth Date and Place:
Petitioner was born on _______________________, ______
In ________________________ [city],
A certified copy of petitioner's birth certificate is attached to
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].
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:
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 Address, Line 1
Petitioner's Address, Line 2
Subscribed and sworn to before me on this ____ day of __________________, 20_____.