Gazette Name Change Service

THIS GAZETTE NAME CHANGE SERVICE is executed on [execution_date] at [place]

 

BETWEEN

[party1_name], resident of [party1_address] (First Party)

 

AND

 

[party2_name], resident of [party2_address] (Second Party).

 

The parties hereby agree to the terms recorded in this Gazette Name Change Service on the date above.

 

IN WITNESS WHEREOF the parties have signed this Gazette Name Change Service on the day and year first above written.

 

_________________________ _________________________

First Party Second Party