Name Change 72495
IN THE SUPERIOR COURT OF BULLOCH COUNTY STATE OF GEORGIA In Re: David Lawrence Walker, Minor Child(ren) Civil Action File No. SUDR2025000430 CONSENT TO CHANGE NAME(S) OF MINOR CHILD(REN) and ACKNOWLEDGMENT OF SERVICE The undersigned David Lawrence Walker and Shantal Omeicha Tisby and David Lawrence ll are the natural parents of David Lawrence Walker, minor child(ren). The undersigned hereby acknowledges that we have received a copy of the Petition that was filed by Shantal Tisby, in the Superior Court of Bulloch County, Georgia, seeking to change the name(s) of David Lawrence Walker to David Lawrence lll. The undersigned hereby state that they have not abandoned said child(ren), nor have they failed to support the children. The undersigned have been advised of the reasons for said name change(s) and the undersigned hereby consent to the filing of said Petition and the aforesaid change of names. IN WITNESS WHEREOF, the parent(s) has/have voluntarily signed their name(s), this 13 day of November, 2025. Shantal Omeicha Tisby MOTHER Sworn to and subscribed before me This 13 day of November, 2025. Meredith Morgan Notary Public My Commission Expires: 8/17/29 David Lawrence ll FATHER Sworn to and subscribed before me this 13 day of November, 2025. Meredith Morgan Notary Public My Commission Expires: 8/17/29 72495 2.19.26 RL