Free Printable Name Affidavit Template

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.

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