State-Specific Name Affidavit Template
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State-Specific Name Affidavit
I. Introduction
This affidavit serves as a formal document to address name discrepancies for individuals within the jurisdiction of the specified state. It provides a detailed account of the name variations and their respective usages for legal, administrative, or personal purposes.
II. Affiant Information
This section requires details about the individual providing the affidavit.
A. Personal Information
Full Legal Name: Franz Davis
Date of Birth: May 2, 2050
Place of Birth: Miami, FL 33103
Current Address: Miami, FL 33103
Contact Information: 222 555 7777 | franz@you.mail
III. Purpose of the Affidavit
State the specific reason(s) for the need of a name affidavit. This section should clarify the purpose and necessity of the affidavit within the state's legal framework.
IV. Name Discrepancies
Document the different versions of the individual’s name used in various records or documents.
A. List of Name Variations
Full Legal Name
Alternate Name 1
Alternate Name 2
All Other Known Variations
B. Context of Usage
Describe the context in which each version of the name is used (e.g., maiden name, nickname, business name).
V. Supporting Documentation
List all documents that support the name variations and provide copies along with the affidavit.
Birth Certificate
Government-issued ID
Marriage Certificate
Legal Name Change Document
Other Relevant Documents
VI. Conclusion
In this section, affirm the intention behind the affidavit, reassert its necessity, and pledge the truthfulness of the information presented.
VII. Signature
The following space is reserved for the affiant's signature, which solidifies their acknowledgement of the affidavit's content and purpose.
Franz Davis
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Affidavit
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