Personalize: Indiana Petition for Change of Name of Minor

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Petitioner (you)

Full Legal Name *Full Address *Street, city, state, ZIP — one combined line.Phone *Email *

Respondent (other parent)

Full Legal Name *Full Address *Phone(optional)Email(optional)

Court

County of Filing *Court Division (Kentucky only)(optional)

Children

Child 1 Full Name *Exactly as on the birth certificate.Child 1 Date of Birth *Child 2 Full Name(optional)Child 2 Date of Birth(optional)Child 3 Full Name(optional)Child 3 Date of Birth(optional)

Schools (optional)

School District(optional)Used in parenting plans; leave blank if not applicable.

Address

Street Address *City *ZIP Code *

About This Matter

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Cause / Case Number *Required for modification motions — comes from your prior decree.Proposed New Name of Minor *Enter the full new legal name you are requesting for the child.Reason for the Name Change *Briefly explain why the name change is in the child's best interest (e.g., to match the custodial parent's surname).Other Parent's Full Name *Enter the name of the child's other parent who must receive notice, or write 'None known' if not applicable.Your relationship to the child *For example, biological mother or alleged biological father; this determines how the petition frames the paternity allegation.Are you requesting child support as part of this petition? *Choose yes or no; selecting yes adds a child support request to the relief section.Statutory Basis for Standing *Select the condition that gives you standing: a parent is deceased, the parents' marriage has been dissolved in Indiana, or the child was born out of wedlock.Parent Through Whom You Are Related *Indicate whether you are the maternal or paternal grandparent — i.e., the parent of the child's mother or father.Name of Deceased Parent (if applicable) *If your standing is based on a deceased parent, enter that parent's full name; leave blank if not applicable.Petitioner's Relationship to Child *Are you filing as the child's mother or as the alleged/biological father?Relief Requested *Select what you are asking the court to order in addition to establishing paternity (e.g., custody, parenting time, child support).

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