Affidavit of Name Change Layout
Affidavit of Name Change
Introduction
I, [YOUR NAME], formerly known as [YOUR PREVIOUS NAME], hereby solemnly affirm and declare under penalty of perjury that the following statements are true and correct:
Statement of Facts
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I am the same person who was formerly known as [YOUR PREVIOUS NAME], and I am currently residing at [YOUR ADDRESS].
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I legally changed my name from [YOUR PREVIOUS NAME] to [YOUR NAME] through [LEGAL PROCESS] on [NAME CHANGE DATE].
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I understand the legal implications of changing my name and confirm that I am not changing my name to evade legal obligations or for any fraudulent purpose.
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I request that all government agencies and relevant institutions update their records to reflect my new legal name, [YOUR NAME], effective immediately.
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I authorize the use of this Affidavit of Name Change as evidence of my legal name change and request that it be accepted as such by all appropriate authorities and entities.
Sworn Oath
I affirm that all statements made herein are true and accurate to the best of my knowledge and belief. I understand that providing false information in this affidavit is punishable by law and may result in legal consequences.
Executed on this [DATE].
Signature
[YOUR NAME]
Sworn to and subscribed before me on this [DATE].
[NOTARY PUBLIC NAME]
[NOTARY PUBLIC COMMISSION NUMBER]
