Name Change Affidavit Agreement /
partial sample
By this deed I, the undersigned
...................(New Name) of etc. called.............(Old
Name),
doing..................(give profession or
avocation) and resident of..................(address) solemnly
declare:-
1. That for and on behalf of myself and my
wife and children and remitter issue wholly
renounce/relinquish and abandon the use of my former
name/surname of.......
and in place thereof I do hereby assume
from this date the name/surname..................
and so that I
and my wife and children remitter issue may hereafter be
called, known
and distinguished not by my former name, but
assumed name/surname of.
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