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Change of Name Deed
BY THIS DEED OF CHANGE OF NAME made by myself the undersigned _____________________________________ of ___________________________________________________________________________________________ now or lately called _____________________________________HEREBY DECLARE AS FOLLOWS:
1. I ABSOLUTELY and entirely renounce, relinquish and abandon the use of my former name of _____________________________________ and assume, adopt and determine to take and use from the date hereof the name of _____________________________________ in substitution for my former name of _____________________________________
2. I SHALL AT ALL TIMES hereafter in all records, deeds, documents and other writings and in all actions and proceedings, as well as in all dealings and transactions and on all occasions whatsoever use and subscribe the said name of _____________________________________ as my name, in substitution for my former name of _____________________________________ so relinquished as aforesaid to the intent that I may hereafter be called, known or distinguished by the name of _____________________________________ only and not by my former name of _____________________________________
3. I AUTHORISE and require all persons at all times to designate, describe and address me by the adopted name of _____________________________________
IN WITNESS whereof I have hereunto subscribed my forenames of _____________________________________ and my adopted and substituted surname of _____________________________________ and also my said former name of _____________________________________
DATED THIS ____ DAY OF _________________ IN THE YEAR _______________
SIGNED AS A DEED
by the above named _____________________________________
.....................................
(signing as _____________________________________)
Formerly known as
_____________________________________
.....................................
(signing as _____________________________________)
In the presence of:
Name: _______________________________________
Address:_____________________________________
_____________________________________
_____________________________________
_____________________________________
Occupation: _________________________________
Witness' Signature: .....................................