Section 19-12-3. Certificate of change of name; use as evidence; form of certificate

   (a) At any time after the entry of the final order of change of name, upon the request of the petitioner requesting the change of name, the clerk of the court granting the same shall issue to the petitioner a certificate of change of name, under the seal of the court, upon payment to the clerk of the fee provided in paragraph (4) of subsection (g) of Code Section 15-6-77. The certificate shall be received as evidence of the facts contained in the certificate.

(b) The certificate of change of name shall be in substantially the following form:
      This is to certify that                 (name of petitioner) has obtained 
   final order of change of name in the Superior Court of                
   County, Georgia, on the        day of             ,     , as shown by the 
   records of the court.
      The name (or names) of                 (full name prior to entry of the 
   final order of change of name) has (or have) been changed to 
                               (full name after entry of the final order of change of 
   name).
      Given under the hand and seal of said court, this the        day of 
                      ,     .
 
 
 
 
      (Seal of court)
                                                                                        
                                                                          Clerk

Code 1933, § 79-504, enacted by Ga. L. 1968, p. 327, § 1; Ga. L. 1991, p. 1324, § 5; Ga. L. 1999, p. 81, § 19.