NAME AFFIDAVIT

This Name Affidavit form is used to declare and confirm a person’s legal name when discrepancies or variations exist in records.

It includes:

• Affiant’s information
• Statement affirming correct legal name
• List of name variations (aliases, maiden names, misspellings)
• Notary acknowledgment section

Format: Fillable PDF (print or complete digitally)

Use Cases: Loan documents, court filings, real estate transactions, ID corrections

Notarization: A notary section is included for validity and acceptance

⚠️ Disclaimer:

This is a general form. Some institutions may require their own version. Please confirm with the requesting agency before use. Utsey Notary Services LLC does not provide legal advice.

Instructions:

Download instantly after purchase, complete the form, and have it notarized by Utsey Notary Services or any licensed notary of your choice before submitting it to your insurance company.