Name Change Affidavit

THIS NAME CHANGE AFFIDAVIT 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 Name Change Affidavit on the date above.

 

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

 

_________________________ _________________________

First Party Second Party