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Enter the full legal name of this person as it would appear on a legal document.
Enter the full legal name of this person as it would appear on a legal document.
An Affidavit of Name Change is a sworn, notarized statement by an individual affirming that they have lawfully changed their name — either through marriage, divorce, court order, or in some states by common use — and attesting to both the former and new legal name. Accepted by banks, financial institutions, passport offices, government agencies, and other institutions to update records without requiring certified copies of every underlying document. Must be signed and sworn before a notary public who completes the jurat. REQUIRES NOTARIZATION. Fill out this free affidavit of name change template online, e-sign it digitally, and download a legally valid PDF. no account or lawyer needed. Sections: Your Information.
STATE OF ______________ COUNTY OF ____________________
BEFORE ME, the undersigned authority, personally appeared the affiant named below, who, being by me duly sworn upon oath, deposes and states as follows:
1. My full current legal name is: ______________ (the "Affiant"). 2. My former legal name was: ______________. 3. My current address is: ______________. 4. My date of birth is: ______________. 5. The last four digits of my Social Security Number are: xxxx (provided for identity verification purposes only).
6. I hereby affirm and swear under oath that I have legally changed my name from ______________ to ______________, effective ______________, for the following reason: ______________.
7. The underlying document or legal basis for my name change is as follows: See supporting documents provided..
8. I am not changing my name to defraud any person, entity, or government agency, nor to avoid any debt, legal obligation, criminal or civil proceeding, or judgment.
9. I affirm that I have not been convicted of any offense that would prohibit this name change under applicable law.
10. I am making this affidavit for the purpose of providing proof of my legal name change to financial institutions, government agencies, employers, and other parties for the purpose of updating records to reflect my current legal name.
11. I understand that this affidavit may be relied upon by the parties to whom it is presented, and that any false statement made herein constitutes perjury under the laws of the State of ______________, which is a criminal offense.
FURTHER, AFFIANT SAYETH NAUGHT.
AFFIANT SIGNATURE ______________________________ ______________ (Formerly known as: ______________) Date: ____________________
NOTARY JURAT Subscribed and sworn to before me this _____ day of ____________, 20____, by ______________ (formerly known as ______________), personally known to me or who produced __________________________ as identification. Notary Public: _________________________ Printed Name: __________________________ My Commission Expires: _________________ [NOTARIAL SEAL]