Name Declaration Affidavit
I. Affidavit Introduction
This document serves as a Name Declaration Affidavit, wherein the undersigned declares and verifies the legal usage and change, if applicable, of their name for official and legal purposes.
II. Affiant Information
A. Personal Details
Full Legal Name: Sigmund Corwin
Date of Birth: May 8, 2050
Place of Birth: Boston, MA 02102
B. Current Address
III. Declaration of Name
I, Sigmund Corwin, hereby declare that I am known by, and use the following name:
IV. Former Name(s), if Applicable
If the affiant has been known, or used, other names, state them as follows:
V. Purpose of Declaration
The purpose of this Name Declaration Affidavit is to affirm my identity and the name by which I am currently and legally recognized, and to clarify any previous name(s) associated with me. This affidavit may be used for:
Legal proceedings
Change of records
Other official needs
VI. Certification and Oath
I hereby certify under penalty of perjury that the foregoing is true and correct and that this affidavit is executed voluntarily and without coercion for the purposes stated herein.
VII. Affiant Signature
In witness whereof, I have hereunto set my hand on this 28th day of February , 2080.
Sigmund Corwin
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