Name Change Affidavit Form Layout
Affidavit
This Affidavit is made on this 26th of March 2080 by [Your Name], 22 years of age, and residing at Henrico, NC 27842, hereinafter referred to as the "Affiant."
Purpose of Name Change
I, [Your Name], hereby declare that I have changed my name to [Your New Name] for personal reasons and intent to be known, identified, and addressed henceforth by the new name. This change is done without any fraudulent intent and purely for personal reasons.
Declaration
I, [Your Name], do hereby solemnly declare and affirm that:
My current legal name is [Your Name].
I have changed my name from [Your Name] to [Your New Name].
I am making this Affidavit to attest to the truth of my new name being [Your New Name].
The reasons for the change of name are personal and not for any fraudulent intent or to avoid any legal obligations.
Supporting Documents
I have attached the following supporting documents for verification of my identity and name change:
Copy of Current Government-Issued ID (Passport)
Birth Certificate
Proof of Residence (Utility Bill)
Sworn Statement
I, [Your Name], do hereby swear and affirm that the information provided in this Affidavit is true and correct to the best of my knowledge and belief.
Signature
Name: [Your Name]
Date: March 26, 2080
Notary Public
This Affidavit was subscribed and sworn to before me this 26th of March 2080, by [Your Name], who is personally known to me or has produced his/her passport as identification.
Skye Coleman, Notary Public
My Commission Expires: March 26, 2081
[Notary Seal]
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