Name Affidavit Form

May 20, 2011

The name affidavit form allows a person to declare under oath that they are the same person as the person mentioned in a document. It is a sure way of determining the person mentioned in a document that is a question of discussion. Below is a sample name affidavit form.

Sample Name Affidavit Form

The undersigned Affiant, being first duly sworn in put under oath, testifies to the following:

I have been known by the following names: ______________________ ______________________ ______________________

I hereby acknowledge that I can be identified by these names and all documents

pertaining to these names are indeed referring to me.

My current address being: ________________ (home address)

_____________________ (state) ______________________

Date of Birth: ______________________ 19_______

I certify that on this day______________________ I saw the documents indicating my

name and agree that they are referenced to me.


Signed (Notary public) ______________________

Date: ______________________

Download Name Affidavit Form In Word Format

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