Printable Name Affidavit
I. AFFIANT INFORMATION
I, [YOUR NAME], being duly sworn, depose and state the following:
Date of Birth: January 1, 2050
Address: Houston, TX 77001
Phone Number: 222 555 7777
Email Address: [YOUR EMAIL]
II. AFFIRMATION OF NAME
I, [YOUR NAME], hereby declare that:
My legal name is [YOUR NAME], and I am known by the name Rocky Orn for purposes of personal, business, or other transactions.
The reason for the use of this alternate name is a personal nickname that I use in informal settings.
III. CONFIRMATION OF IDENTITY
I affirm that:
[YOUR NAME] is the same individual referred to as Rocky Orn in the document(s) or transaction(s) identified as a contract with [YOUR COMPANY NAME].
The use of my alternate name does not constitute fraudulent activity or misrepresentation in any manner.
IV. SUPPORTING DOCUMENTATION
I have provided the following documents to support this affidavit:
Driver's License
Passport
Utility Bill
V. DECLARATION AND SIGNATURE
I, [YOUR NAME], hereby swear under oath that the statements made in this affidavit are true and correct to the best of my knowledge.
Affiant’s Signature:
Date: December 18, 2074
VI. NOTARY PUBLIC ACKNOWLEDGEMENT
State of Texas
County of Harris
Subscribed and sworn to before me, the undersigned notary public, on this December 18, 2074.
Note: This document is executed as a legal declaration for purposes of a business contract.
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