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The most common form you will use as a notary is the certificate of acknowledgment. Although the law does give certain wording for the.Section 2 of the Paternity Declaration, provide a separate, completed Additional Alleged Fathers form (CS-ES119) for each alleged father named. 1. Prepare the Original Petition for Change of Name of Adult. You may use this form as a. This form should be used when an adult wants the court to change his or her name. Sign the declaration on this form under penalty of perjury. (You could be criminally prosecuted for lying on this form.) 2. I was born on {date}. The following information is collected about each member of your household (family composition): full name, date of birth, and Social Security Number.