On September 07, 2022 a
Miscellaneous
was filed
involving a dispute between
Name Change,
and
Watkins Jan Laraine,
in the District Court of Cobb County.
Preview
Filed In Office Sep-07-2022 11:07:24
IDs 2022-01 i SS11i1—-cv
‘ase
General Civil and Domestic Relations Case Filing Information Form A)
© Superior or C State Court of Cobb
Plaintiff's Attorney State Bar Number Self-Represented K)
O Non-payment of child support,
medical support, or alimony
Habeas Corpus
Injunction/Mandamus/Other Writ
Landlord/Tenant
Medical Malpractice Tort
Product Liability Tort
Real Property Support - Private (non-IV-D)
Restraining Petition Other Domestic Relations
Other General Civil
oO
Qo
Q
a
Oo
Oo
Q
Oo
Qo
Q
a
Oo
x
a Check if the action is related to another action pending or previously pending in this court involving some or all of
the same: parties, subject matter, or factual issues. If so, provide a case number for each.
Case Number (Case Number
¥ ' hereby certify that the documents in this filing, including attachments and exhibits, satisfy the requirements for
redaction of personal or confidential information in OCGA § 9-11-7.1.
a |s a foreign language or sign-language interpreter needed in this case? If so, provide the language(s) required.
Language(s) Required
Qa Do you or your client need any disability accommodations? If so, please describe the accommodation request.
“Adult Name Change Packet “ Page 13 of 16
Provided by the Superior Court of Cobb County. Rev.6 Jan 2020
Document Filed Date
September 07, 2022
Case Filing Date
September 07, 2022
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Preview
Filed In Office Sep-07-2022 11:07:24 IDs 2022-01 i SS11i1—-cv ‘ase General Civil and Domestic Relations Case Filing Information Form A) © Superior or C State Court of Cobb Plaintiff's Attorney State Bar Number Self-Represented K) O Non-payment of child support, medical support, or alimony Habeas Corpus Injunction/Mandamus/Other Writ Landlord/Tenant Medical Malpractice Tort Product Liability Tort Real Property Support - Private (non-IV-D) Restraining Petition Other Domestic Relations Other General Civil oO Qo Q a Oo Oo Q Oo Qo Q a Oo x a Check if the action is related to another action pending or previously pending in this court involving some or all of the same: parties, subject matter, or factual issues. If so, provide a case number for each. Case Number (Case Number ¥ ' hereby certify that the documents in this filing, including attachments and exhibits, satisfy the requirements for redaction of personal or confidential information in OCGA § 9-11-7.1. a |s a foreign language or sign-language interpreter needed in this case? If so, provide the language(s) required. Language(s) Required Qa Do you or your client need any disability accommodations? If so, please describe the accommodation request. “Adult Name Change Packet “ Page 13 of 16 Provided by the Superior Court of Cobb County. Rev.6 Jan 2020