This Unenrolled Deed Poll ("Deed") is made and entered into as of [Date] by and between:
Grantor: [Your Name], residing at [Your Company Address].
Witness: [Witness's Name], residing at [Witness's Address].
The Grantor, desiring to change their name, hereby declares and affirms as follows:
The Grantor's current legal name is [Your Name].
The desired name to be henceforth used by the Grantor is [Your Name].
In consideration of the mutual promises and agreements contained herein, and for other good and valuable consideration, the sufficiency of which is hereby acknowledged, the Grantor and Witness agree as follows:
This Deed pertains solely to the legal name change of the Grantor from [Your Name] to [Your Name].
The Grantor covenants and agrees to:
Abide by the laws governing name changes in the jurisdiction.
Use the name [Your Name] in all legal and official matters henceforth.
Notify relevant authorities and entities of the name change.
The Grantor acknowledges the execution and delivery of this Deed to the Witness, who accepts it as a true and binding agreement.
This Deed is executed on [Execution Date].
The Grantor and Witness acknowledge the validity and enforceability of this Deed as of the Execution Date.
IN WITNESS WHEREOF, the undersigned have executed this Unenrolled Deed Poll as of the date first above written.
[Your Name]
Date:
[Witness's Name]
Date:
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State of [State]
Country of [Country]
On this [Date] day of [Month], [Year] before me, a Notary Public in and for said County and State, personally appeared [Your Name], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that they executed the same.
[Notary Public]
Date:
My commission expires:
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