Printable Name Affidavit Template
Share
Printable Name Affidavit
I. AFFIANT INFORMATION
I, [YOUR NAME], being duly sworn, depose and state the following:
Date of Birth: January 1, 2050
Address: Houston, TX 77001
Phone Number: 222 555 7777
Email Address: [YOUR EMAIL]
II. AFFIRMATION OF NAME
I, [YOUR NAME], hereby declare that:
My legal name is [YOUR NAME], and I am known by the name Rocky Orn for purposes of personal, business, or other transactions.
The reason for the use of this alternate name is a personal nickname that I use in informal settings.
III. CONFIRMATION OF IDENTITY
I affirm that:
[YOUR NAME] is the same individual referred to as Rocky Orn in the document(s) or transaction(s) identified as a contract with [YOUR COMPANY NAME].
The use of my alternate name does not constitute fraudulent activity or misrepresentation in any manner.
IV. SUPPORTING DOCUMENTATION
I have provided the following documents to support this affidavit:
Driver's License
Passport
Utility Bill
V. DECLARATION AND SIGNATURE
I, [YOUR NAME], hereby swear under oath that the statements made in this affidavit are true and correct to the best of my knowledge.
Affiant’s Signature:
Date: December 18, 2074
VI. NOTARY PUBLIC ACKNOWLEDGEMENT
State of Texas
County of Harris
Subscribed and sworn to before me, the undersigned notary public, on this December 18, 2074.
Notary Public Name: Lyda Fadel
Commission Expires: January 1, 2076
Note: This document is executed as a legal declaration for purposes of a business contract.
Templates
Affidavit
Templates
