Name Change Affidavit Format

I. Personal Information

A. Affiant's Details

1. Full Name: [Current Full Legal Name]

2. Date of Birth: [Date of Birth]

3. Address: [Current Address]

4. Contact Number: [Phone Number]

II. Declaration

A. Purpose of Name Change

This affidavit is being submitted to legally document the change of name from [Old Full Legal Name] to [New Full Legal Name].

B. Reason for Name Change

I, [Current Full Legal Name], hereby declare that the name change is due to [state reason for name change, e.g., marriage, divorce, personal choice, etc.] and is not being effected for fraudulent purposes.

III. Supporting Documents

The following documents are attached in support of this affidavit:

• Copy of Birth Certificate

• Copy of Marriage Certificate or Divorce Decree (if applicable)

• Government-issued Identification showing current name

• Any other relevant documents

IV. Affirmation

I solemnly affirm that all the information provided in this affidavit is true to the best of my knowledge and that I am aware of the legal consequences of providing false information.

V. Signature

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