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SAME NAME AFFIDAVIT

General Info
Affiant Details
Applicant's Details
Final Step
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Applicant's Details

Whose identity is verified in this Affidavit?

Current or Assumed Name:

Legal or Former Name:

Applicant's Date of Birth:

Address:

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Applicant's Details

Date on which the Applicant began using the new name

Enter the time period which the affiant has known the applicant with new name

Time Period e.g.(2 year, 3 months, etc...)

Enter the time period which the affiant has known the applicant with former name

Time Period e.g.(12 year, 3 months,90 days, etc...)

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Applicant's Details

How does the Affiant know the Applicant?

Nature of Relationship:

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