Notary Affidavit For Name Change

State of [STATE NAME]
County of [COUNTY NAME]

I, Anita Wehner, being duly sworn, hereby declare and state as follows:

1. Personal Information:

   • I was born on April 12, 2025, in Philadelphia, PA 19102.

   • My current legal name is Anita Wehner.

2. Reason for Name Change:

   • I am making this affidavit to officially change my name as a result of marriage.

   • I recently married Lester Nolan on June 15, 2050 in Phoenix, AZ 85001.

3. New Name Declaration:

   • Following my marriage, I intend to change my name from Anita Wehner to Anita Wehner Nolan.

   • This change reflects my married status and is being made for personal and legal reasons.

4. No Fraudulent Intent:

   • I affirm that this name change is not being made for any fraudulent or illegal purpose and is solely for the reasons stated in this affidavit.

5. Identification of the Affiant:

   • I am the same person known by both my current name, Anita Wehner, and my proposed new name, Anita Wehner Nolan.

I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.

Dated this 10th day of July, 2050.

Signature:

Anita Wehner

NOTARIZATION

SWORN TO AND SUBSCRIBED before me, a Notary Public, on this 10th day of July, 2050, by Anita Wehner, who is personally known to me or who has produced [STATE NAME] Driver's License as proof of identity.

[YOUR NAME]
Notary Public
State of [STATE NAME]
My Commission Expires: August 15, 2055

(Notary Seal)

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