Affidavit of Name Change

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An affidavit of name change is a document by an individual stating that they have changed their legal name. This affidavit is typically used when the individual is carrying out transactions at an agency or institution where they have previously used their former name. The notarized affidavit is presented to authorize updating the records to show the individual’s new legal name.

Affidavit of Name Change

An affidavit of name change is a document by an individual stating that they have changed their legal name. This affidavit is typically used when the individual is carrying out transactions at an agency or institution where they have previously used their former name. The notarized affidavit is presented to authorize updating the records to show the individual’s new legal name.

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Last updated February 28th, 2025

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An affidavit of name change is a document by an individual stating that they have changed their legal name. This affidavit is typically used when the individual is carrying out transactions at an agency or institution where they have previously used their former name. The notarized affidavit is presented to authorize updating the records to show the individual’s new legal name.

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AFFIDAVIT OF NAME CHANGE

I, the Affiant, being duly sworn, hereby affirm on [MM/DD/YYYY] that:

My present full legal name is [CURRENT NAME].

I was born on [MM/DD/YYYY] in [PLACE OF BIRTH]. I currently reside at [ADDRESS].

I changed my full legal name from [FORMER NAME] to my current name on [MM/DD/YYYY].

The change of name request is not for any fraudulent or wrongful purpose, detrimental to the rights or interests of any other person, or prohibited by or violative of any judicial or administrative adjudication.

Under penalty of perjury, I hereby declare and affirm that the Affidavit is signed by me and all its contents, to the best of my knowledge, are true and correct.

Affiant’s Signature: _______________________ Date: _________________

State of [STATE]
County of [COUNTY]

Subscribed and sworn to (or affirmed) before me on this [DAY] day of [MONTH], [YEAR], by [AFFIANT], proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

WITNESS my hand and official seal.

Signature: ________________________

My Commission Expires: _______________

(Seal)