Name Change Affidavit
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Name Change Affidavit Form. This is a Louisiana form and can be use in Notary Division Secretary Of State.
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Tags: Name Change Affidavit, Louisiana Secretary Of State, Notary Division
NAME CHANGE AFFIDAVIT
STATE OF LOUISIANA
PARISH OF _________________________________
BEFORE ME, the undersigned personally came and appeared,
__________________________________________________________________
(Name of Affiant)
Who, after being sworn, did depose and said that he/she was commissioned
as ________________________________________, that his/her name has
(name affiant is currently commissioned as)
changed to ____________________________________________, for the
following reason(s): ____________________________________________.
______________________________________
Signature of Affiant
Sworn to and subscribed, before me this ____ day of _____________, ______.
_______________________________
Notary Public
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