Free Name Affidavit

This Name Affidavit is a short form version in which a person declares that he or she is the same person as known by another name. This Name Affidavit must be signed in front of a notary public but does not require a witness signature.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.

I ________________________________ of __________________________________________ under penalty of perjury do hereby certify and declare that ________________________________ and ________________________________________ are one and the same person.


STATE OF ________________
COUNTY OF _______________
Sworn to and subscribed before me this _____day of ___________, 20__, by _______________, who was personally known to me or who presented ___________________________ as identification.
Commission No.
(Signature of Notary)

Commission Expiration:

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