New York General Affidavit

Introduction

I, [YOUR NAME], currently residing at [YOUR ADDRESS], County of [COUNTY], State of New York, being of sound mind and under no duress or coercion, do hereby solemnly affirm and declare as follows:

Statement of Facts

1. My current legal name is [YOUR NAME], as stated on my birth certificate and all legal documents.

2. I desire to change my name to [NEW NAME].

3. The reason for my name change is [REASON FOR NAME CHANGE].

4. I am not changing my name for any fraudulent or illegal purpose, and I am not seeking to avoid any legal obligation or liability by changing my name.

5. I have been known by the name [YOUR NAME] for the entirety of my life, and I have not used any other names for any legal or official purposes.

Sworn Oath

I do hereby swear and affirm under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief. I understand that making false statements in this affidavit is punishable by law.

Executed on this [DAY] day of [MONTH], [YEAR] at [CITY], State of New York.

[YOUR NAME]

Affiant

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Sworn to and subscribed before me this [DAY] day of [MONTH], [YEAR].

Notary Public/Authorized Officer

[NOTARY PUBLIC COMMISSION NUMBER]

[NOTARY PUBLIC COMMISSION EXPIRY DATE]

[NOTARY SEAL]

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