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This form is used for changing the address and name of members within the Public Safety Personnel Retirement System, as mandated by Section 6109 of the Internal Revenue Code.
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How to fill out address and name change

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How to fill out Address and Name Change Form

01
Obtain the Address and Name Change Form from the relevant agency or website.
02
Fill out your current name at the top of the form.
03
Provide your new name in the designated field if applicable.
04
Enter your current address in the provided section.
05
Fill in your new address if applicable.
06
Include any required identification information, such as a driver's license number or social security number.
07
Review the form for accuracy and completeness.
08
Sign and date the form at the bottom.
09
Submit the form as instructed, either by mail or in-person to the respective office.

Who needs Address and Name Change Form?

01
Individuals who have legally changed their name and need to update their records.
02
People who have changed their residential address and need to notify relevant authorities.
03
Residents who are updating their address for legal documents, such as identification or bank accounts.
04
Anyone moving to a new location and wants their records to reflect their current address.
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People Also Ask about

Sample Email Templates for Name Change Announcements I hope this message finds you well. I am writing to inform you of a significant personal change. Effective [Date], I have legally changed my name from [Old Name] to [New Name]. Please update your records ingly.
I state that [maiden name] and the [present name] is the name of one and the same person and that is myself. I am executing this declaration to be submitted to the concerned authorities for the change of my name in membership database.
I am writing this letter to bring to your kind attention that I have changed my name for some personal reasons, and I want to change the same in the bank records as well. Since my name is now legally changed, I would like to request you to change my name from ARUSHI SHARMA to AYUSHI SHARMA.
Since my name is now legally changed, I would like to request you to change my name from ARUSHI SHARMA to AYUSHI SHARMA. For your reference, I have attached the legal proof of my name change with this letter. I request you to do the needful at the earliest possible, and I shall be highly obliged for the same.
Name Change Procedure in India The current full name and the new name of the applicant (deponent) Father's name of the deponent or husband's name (in the case of married women) Residential address. Declaration stating that the facts in the affidavit are true and correct. Signature of the deponent.
I state that [maiden name] and the [present name] is the name of one and the same person and that is myself. I am executing this declaration to be submitted to the concerned authorities for the change of my name in membership database.
1. I say that my true and correct name is…………….. 2. I say that in my graduation certificate or Certificate of Membership by ICAI or aadhar card or PAN Card or any document (mention), my name is mentioned as “…”. The name …. is my mother's name or my father's name or ……. name.
I state that [maiden name] and the [present name] is the name of one and the same person and that is myself. I am executing this declaration to be submitted to the concerned authorities for the change of my name in membership database.
However, it needs to be done legally by creating an affidavit, publishing an advertisement in the newspaper and a notification in the Gazette of India. After the name change is notified in the Gazette, the person can start using the new name and apply for changing the name in all ID proof documents.
We the undersigned, being everyone with parental responsibility for [CHILD'S OLD FULL NAME] consent to their name being changed to [INSERT NEW FULL NAME]. Please find attached a Deed Poll to this effect which evidences the change in name.

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The Address and Name Change Form is a document used to officially request updates to an individual's registered address and/or name in various governmental or organizational records.
Individuals who have legally changed their name or have moved to a new address are typically required to file an Address and Name Change Form to keep their information accurate and up-to-date.
To fill out the Address and Name Change Form, one should provide personal details such as their old and new name (if applicable), current and new addresses, contact information, and any required identification numbers, ensuring all information is accurate and complete.
The purpose of the Address and Name Change Form is to ensure that an individual's official records reflect their current name and address, which is important for communication, legal documents, and maintaining accurate records.
The information that must be reported generally includes the individual's full name, previous address, new address, perhaps the reason for the change, and any identification numbers relevant to the organization requiring the form.
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