Notary Affidavit For Name Change

Notary Affidavit For Name Change

I. Introduction

This Notary Affidavit serves as a legal document affirming the change of name of [Your Name]. The undersigned [Your Name], residing at [Your Company Address], solemnly affirm and declare the following:

II. Affirmation of Identity

I, [Your Name], hereby affirm that I am the same person as [Previous Name] and that I have decided to change my name to [New Name].

III. Reason for Name Change

I am changing my name for the following reasons:

  • Marriage

  • Personal preference

  • Divorce

  • Other: [Specify].

IV. Declaration of Name Change

I am hereby making an official declaration to provide notice that from this day forward, I will be using [New Name] in all official, legal, and personal matters. It will take effect immediately and apply to all legal proceedings and personal day-to-day affairs conducted under my name.

V. Signature

I affirm that the above statements are true and correct to the best of my knowledge.


[Your Name]
[Date Signed]

VI. Notary Section

On this           day of            , 20, before me, a Notary Public, personally appeared [Your Name], known to me (or proved to me based on satisfactory evidence) to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same in his/her authorized capacity and that by his/her signature on the instrument, the person or the entity upon behalf of which the person acted, executed the instrument.

Witness my hand and official seal:

[Printed Name of Notary Public]

My commission expires:              


VII. Seal

[Notary Seal Image]

This document is hereby notarized on the date first above written.

This Notary Affidavit For Name Change is executed in duplicate, with one copy retained by the undersigned and one copy retained by the Notary Public.


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