New York General Affidavit
Introduction
I, [YOUR NAME], currently residing at [YOUR ADDRESS], County of [COUNTY], State of New York, being of sound mind and under no duress or coercion, do hereby solemnly affirm and declare as follows:
Statement of Facts
My current legal name is [YOUR NAME], as stated on my birth certificate and all legal documents.
I desire to change my name to [NEW NAME].
The reason for my name change is [REASON FOR NAME CHANGE].
I am not changing my name for any fraudulent or illegal purpose, and I am not seeking to avoid any legal obligation or liability by changing my name.
I have been known by the name [YOUR NAME] for the entirety of my life, and I have not used any other names for any legal or official purposes.
Sworn Oath
I do hereby swear and affirm under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief. I understand that making false statements in this affidavit is punishable by law.
Executed on this [DAY] day of [MONTH], [YEAR] at [CITY], State of New York.
[YOUR NAME]
Affiant
Sworn to and subscribed before me this [DAY] day of [MONTH], [YEAR].
Notary Public/Authorized Officer
[NOTARY PUBLIC COMMISSION NUMBER]
[NOTARY PUBLIC COMMISSION EXPIRY DATE]
[NOTARY SEAL]
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