Free State-Specific Name Affidavit Template

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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