Name Declaration Affidavit

I. Affidavit Introduction

This document serves as a Name Declaration Affidavit, wherein the undersigned declares and verifies the legal usage and change, if applicable, of their name for official and legal purposes.

II. Affiant Information

A. Personal Details

• Full Legal Name: Sigmund Corwin

• Date of Birth: May 8, 2050

• Place of Birth: Boston, MA 02102

B. Current Address

• Street Address: Boston, MA 02102

III. Declaration of Name

I, Sigmund Corwin, hereby declare that I am known by, and use the following name:

• Name for Declaration: Sigmund Corwin

IV. Former Name(s), if Applicable

If the affiant has been known, or used, other names, state them as follows:

• Former Legal Name(s): [Former Legal Name(s), if any]

V. Purpose of Declaration

The purpose of this Name Declaration Affidavit is to affirm my identity and the name by which I am currently and legally recognized, and to clarify any previous name(s) associated with me. This affidavit may be used for:

• Legal proceedings

• Change of records

• Other official needs

VI. Certification and Oath

I hereby certify under penalty of perjury that the foregoing is true and correct and that this affidavit is executed voluntarily and without coercion for the purposes stated herein.

VII. Affiant Signature

In witness whereof, I have hereunto set my hand on this 28th day of February , 2080.

Sigmund Corwin

Affidavit Templates @ Template.net