Notary Public Request To Change Record
I, [YOUR NAME], hereby request the following changes to my records, which require notarization:
I. Reason for Name Change
In light of my recent nuptials, I am putting forward a request for a change in the name I am currently registered under. As I have recently wedded [Spouse's Full Name], on the [Marriage Date], I am seeking to have this significant event in my life reflected in my documentation. Therefore, my legal name should be updated in your records as per my new status.
II. Updated Personal Information
Date of Birth: [Date of Birth]
Address: [Current Address]
Contact Number: [Current Contact Number]
Email Address: [Current Email Address]
I declare under penalty of perjury under the laws of [State/Country] that the foregoing is true and correct.
Executed on [Date].
[YOUR NAME]
State of [STATE]
On this [DATE], before me, the undersigned 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 the 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.
[NOTARY PUBLIC'S NAME]
[Seal]
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