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Department of Health and Human Services Division of Public Health Licensure Unit P.O. Box 94986 Lincoln, Nebraska 685094986 AFFIDAVIT OF NAME CHANGE State of County of I, being first duly sworn, depose
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How to fill out affidavit of name change

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01
Obtain the appropriate form: The first step in filling out an affidavit of name change is to obtain the correct form. You can typically find this form through your local government office or online resources. It's important to ensure that you have the most up-to-date version of the form.
02
Provide personal information: The affidavit will require you to provide your personal information, such as your current name, date of birth, and residential address. Make sure to enter this information accurately and legibly.
03
State your reason for name change: In the affidavit, you will need to explain the reason for your desired name change. This could include marriage, divorce, adoption, or any other valid reason. Clearly and concisely describe the circumstances surrounding your name change.
04
Include relevant supporting documents: Depending on the jurisdiction, you may need to attach supporting documents to your affidavit. These could include a marriage certificate, divorce decree, or court order. Follow the instructions provided with the affidavit form to determine which supporting documents are required.
05
Sign the affidavit: Once you have completed all the necessary sections of the affidavit, sign it in the presence of a notary public or other authorized official. This signature verifies that the information provided is true and accurate to the best of your knowledge.

Who needs an affidavit of name change?

An affidavit of name change is typically required by individuals who wish to legally change their name. This could include individuals who have recently married or divorced, those who have undergone a gender transition, or anyone who wishes to update their legal identity. The specific requirements for obtaining an affidavit of name change may vary depending on your jurisdiction, so it's important to research the regulations in your area.
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An affidavit of name change is a legal document used to officially change a person's name.
Anyone who wishes to legally change their name is required to file an affidavit of name change.
To fill out an affidavit of name change, the individual must provide their current name, the desired new name, reason for the name change, date of birth, place of birth, and any other relevant personal information.
The purpose of an affidavit of name change is to legally document and inform relevant government agencies, institutions, and individuals of the name change.
The information reported on an affidavit of name change typically includes current name, new name, reason for name change, date of birth, place of birth, and contact information.
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