"Affidavit of Name Change Form"

What Is a Name Change Affidavit?

An Affidavit of Name Change is a document that individuals fill out when they need to prove the fact that they have changed their name in the past. The purpose of the form is to assure the requesting party that the proper name change took place. Most times the affidavit requires a notary verification and witness signatures, however, depending on the circumstances it can be verified other ways (for example, by a passport or acceptance agent).

This affidavit can be required in different situations, such as applying for a U.S. passport, applying for a name change in different documents, or different institutes (like college), etc.

You can download our Name Change Affidavit template through the link below and customize it to suit your specific needs.

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How to Fill Out an Affidavit Regarding a Change of Name?

Some government organizations and entities require filers to use a certain form of Affidavit Regarding a Change of Name, however, it is not always applicable and sometimes the filer can fill it out in a more open manner using others as an example. Even though individuals have freedom in how to complete the form, it is necessary to include the most important sections there, such as:

  1. Information about the filer. In the first part of the document, the filer must designate their current full name, date of birth, place of birth, current address, social security number, contact information. It will help the requesting party to identify the filer and get in touch with them if they have any questions.
  2. Information about the name change. Here, the filer is required to state their full previous name and the approximate date when it was changed.
  3. Identifying document. Individuals use this part of the document to state the document they are using for identification purposes, such as a U.S. passport, driver's license, military ID, etc. In addition to this, they must enter the issuing date of the document, place of issuing, date of expiration, etc.
  4. A place for verification. In the last part of the form, an authorized individual will verify the documents by putting their name, signature, and credentials there.

The filer can add more information in the affidavit, like its purpose or where they will file it, nevertheless, it is crucial not to exclude the essential information. Otherwise, the affidavit won't serve its purpose and may not be accepted.

How to Make an Affidavit for Name Change After Marriage?

Sometimes individuals need to make the affidavit after they have changed their name due to marriage. In this case, an Affidavit of Change of Name shall include their personal information, maiden name, information about their marriage (including their partner's name, date of marriage, and place of marriage), and the name that they have received after marriage. This kind of affidavit also needs a joint photograph of the filers and should be verified by a public notary.


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Affidavit of Name Change
State of _____________________
County of ___________________
Current Name of Applicant: __________
Former Name of Applicant:​
__________
_________________________________
_________________________________
Known By Current Name: ​
_ __________
Known By Former Name:​
_ ___________
Approximate Date Current Name Was
Applicant's Date of Birth: ____________
Assumed: ________________________
_________________________________
Number of Years You Have Known the Applicant:​
_ ______________________________
Your Relationship to the Applicant:​
_ __________________________________________
The variance in the applicant's name shown on their birth records and the name currently
used:
________________________________________________________________________
Current name is used:
❏ As an “also known as” name; or
❏ Exclusively and for all purposes.
The Applicant’s current address is​
_ __________________________________________.
I solemnly swear (or affirm) that the information given above by me is true and correct to
the best of my knowledge and belief, that the Applicant named above has been known by
both their present and former names as stated and is one and the same person; that the
Applicant is known by their present name to friends and relatives, and in the community
in which he or she is residing.
_______________________________
_______________________________
Affiant’s Name
Affiant’s Signature
_______________________________
_______________________________
Affiant’s Address
Date
© ​
T EMPLATEROLLER.COM
Affidavit of Name Change
State of _____________________
County of ___________________
Current Name of Applicant: __________
Former Name of Applicant:​
__________
_________________________________
_________________________________
Known By Current Name: ​
_ __________
Known By Former Name:​
_ ___________
Approximate Date Current Name Was
Applicant's Date of Birth: ____________
Assumed: ________________________
_________________________________
Number of Years You Have Known the Applicant:​
_ ______________________________
Your Relationship to the Applicant:​
_ __________________________________________
The variance in the applicant's name shown on their birth records and the name currently
used:
________________________________________________________________________
Current name is used:
❏ As an “also known as” name; or
❏ Exclusively and for all purposes.
The Applicant’s current address is​
_ __________________________________________.
I solemnly swear (or affirm) that the information given above by me is true and correct to
the best of my knowledge and belief, that the Applicant named above has been known by
both their present and former names as stated and is one and the same person; that the
Applicant is known by their present name to friends and relatives, and in the community
in which he or she is residing.
_______________________________
_______________________________
Affiant’s Name
Affiant’s Signature
_______________________________
_______________________________
Affiant’s Address
Date
© ​
T EMPLATEROLLER.COM