Free Sample Notarized Name Affidavit Template

Sample Notarized Name Affidavit

I. Introduction

This affidavit is executed by the undersigned for the purpose of verifying the various names used by the affiant in different documents. It is a sworn statement to clarify any discrepancies caused by these name variations.

II. Affiant Information

A. Personal Details

  • Full Name: Drake Feeney

  • Date of Birth: May 7, 2050

  • Address: Nashville, TN 37201

B. Identification

  • Driver's License No.: TN0850

  • Passport No.: 0187452

III. Purpose of Affidavit

The purpose of this affidavit is to attest under oath that the different names listed below refer to one and the same individual, the affiant. This is essential for consistency and transparency in legal or official documents and transactions.

IV. Statement of Fact

I, Drake Feeney, hereby declare that all the names mentioned below are used interchangeably and identify the same individual, which is myself:

  • Name as on Birth Certificate: Drake Feeney

  • Name as on Social Security Card: Drake Feeney

  • Name as on Driver's License: Drake Feeney

  • Other Names Used: Drake Feeney

V. Affirmation

I affirm under the penalties of perjury that the information provided in this affidavit is true and accurate to the best of my knowledge.

VI. Signature

Lyda Fadel

VII. Notary Acknowledgment

State of [State]

County of [County]

Subscribed and sworn to (or affirmed) before me on this 12th day of December, 2080 by Drake Feeney, who is personally known to me or has produced [Identification] as identification.

Drake Feeney

Stamp/Seal:

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