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NON-REFUNDABLE FEE 25. 00 MISSISSIPPI BOARD OF NURSING 713 Pear Orchard Road Suite 300 Ridgeland MS 39157 601 957-6300 AFFIDAVIT FOR NAME CHANGE Enter name below as associated with your nursing license. NAME First Middle Maiden Last Enter requested name change below to be associated with your nursing license. Enter data below as indicated. SOCIAL SECURITY ADDRESS PO BOX/STREET LICENSE CITY STATE ZIP CODE COUNTY My primary state of residence is NA...
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What is affidavit for name change?
An affidavit for name change is a legal document that allows an individual to formally change their name.
Who is required to file affidavit for name change?
Individuals who wish to legally change their name are required to file an affidavit for name change.
How to fill out affidavit for name change?
To fill out an affidavit for name change, one must include their current name, desired new name, reason for name change, and any supporting documentation.
What is the purpose of affidavit for name change?
The purpose of an affidavit for name change is to provide a legal record of an individual's decision to change their name.
What information must be reported on affidavit for name change?
Information such as current name, desired new name, reason for name change, and any supporting documentation must be reported on an affidavit for name change.
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