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HSA INFORMATION CHANGE NOTIFICATION FORM Instructions 1. 2. 3. 4. Name Change Complete Account holder Information and Name Change sections to change the name on your HSA. Attach legal documentation
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How to fill out an application for a name change - complete:

01
Obtain the necessary forms: Start by visiting the appropriate government website or office to access the application for a name change. The forms may also be available at a local courthouse.
02
Provide personal information: Fill out your current legal name, date of birth, and contact information. Be sure to include any previous names you have used.
03
Reason for name change: Indicate the reason for the name change. Common reasons include marriage, divorce, adoption, or personal preference.
04
Supporting documents: Attach any required supporting documents, such as a marriage certificate, divorce decree, or court order. These documents serve as evidence for the name change request.
05
Signature and date: Sign and date the application form. Make sure to read through the form carefully before signing to ensure accuracy.
06
Submit the application: Once the form is completed, submit it along with any required fees. Follow the instructions provided by the government agency or office for submission.
07
Follow-up: Keep a record of your application and any reference numbers provided. If necessary, follow up with the agency to check the status of your application.

Who needs a name change - complete?

01
Individuals who have recently gotten married and wish to adopt their spouse's last name.
02
Divorced individuals who want to revert to their pre-marriage name.
03
People who have legally changed their gender identity and want to update their name to reflect their new identity.
04
Adoptees who want to take on their adoptive family's name or modify their existing name.
05
Individuals who want to change their name due to personal preference, cultural reasons, or disassociation from their current name.
Remember to consult with legal professionals or the appropriate government agency to ensure you are following the correct procedures and requirements for a name change in your specific jurisdiction.
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A name change is a legal process in which a person applies to legally change their name.
Individuals who wish to change their legal name are required to file for a name change.
To fill out a name change, individuals need to complete a petition, submit required documents, and pay any associated fees.
The purpose of a name change is to legally change a person's name to one that better reflects their identity or personal preferences.
The name change petition must include the current legal name, the desired new name, and reasons for the name change.
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