How to Motivate Yourself

Approved, SCAO

JIS CODE: NAM

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

FILE NO. PETITION TO CHANGE NAME

COUNTY

In the matter of the name change of to Charlie Scott Summerfield

Charles Allan Cater
Present first name(s), middle name(s), and last name(s) (type or print)

Requested new first name(s), middle name(s), and last name(s) (type or print)

1. An action within the jurisdiction of the family division of circuit court involving the family or family members of the person(s) named above has/have been previously filed in Court, Case Number is no longer , was pending.

assigned to Judge , and remains 2. The name change is for: a. a married person who wishes to also include a name change for: his/her spouse. his/her minor child(ren), of whom the petitioner has legal custody. b. an adult. c. a minor, whose natural or adopted parents are:
Mother Father

and

.
Name

Both parents are deceased. The guardian is

. (Attach letters of guardianship.)

3. The name change is for the following reason: Id like to have the same last name as my mother remarried to a wonderful stepfather 4. The name change is not sought for any fraudulent intent. 5. The following person(s) seeking a name change has/have a criminal record:

6. Each person for whom a name change is sought has been a resident of the county for at least one year.
[Complete item 7 only if the name change is for a minor. Please see other side for remainder of petition.]

7. I have legal custody of the minor. a. The noncustodial parent has had the ability to visit, contact, or communicate with the child and has regularly and substantially failed or neglected to do so for a period of two years or more before the filing of this petition and either: a support order has been entered, and the noncustodial parent has failed to substantially comply with the order for a period of two years or more before the filing of this petition; or a support order has not been entered and...