Name Change Affidavit Template, Free Download 2026
Name Change Affidavit Template Preview
When Do You Need a Name Change Affidavit?
You have completed a legal name change through a court order and need a sworn affidavit to present to government agencies, banks, employers, and other institutions to update your records. The affidavit connects your former name to your new legal name and references the court order granting the change.
You recently married and are changing your last name to your spouse's surname. While a marriage certificate is the primary document for a marriage-related name change, some institutions also require a name change affidavit to process the update, especially for financial accounts and professional licenses.
You are filing a name change petition with the court under statutes such as California CCP 1275-1279.6 or New York Civil Rights Law 60-65 and need a supporting affidavit that explains the reason for the name change and confirms you are not changing your name to avoid debts, judgments, or criminal liability.
Your state requires a newspaper publication requirement for name changes and you need an affidavit to submit alongside the proof of publication to the court. The affidavit confirms that the required notice was published for the specified number of weeks in a newspaper of general circulation.
You need to update your Social Security Administration records, driver's license, passport (Form DS-60), voter registration, and other government-issued identification after a legal name change and some agencies require a sworn affidavit in addition to the court order. A general affidavit format can be adapted if you need a simpler sworn statement.
You are unable to afford the court filing fee for a name change petition and are filing an in forma pauperis application to waive the fee, which requires a sworn affidavit of your financial situation along with the name change petition.
What Should a Name Change Affidavit Include?
Current Legal Name
State your current full legal name exactly as it appears on your birth certificate or most recent court-ordered name change. Include any middle names. This is the name you are changing from, and it must match your current government-issued identification.
Requested New Name
State the full new name you are requesting, including first, middle, and last names. The new name must be complete and specific. Courts will not approve vague or partial name changes. If you are reverting to a maiden name after divorce, state the maiden name in full.
Reason for Name Change
Explain the reason for the name change. Common legitimate reasons include marriage, divorce, personal preference, religious conversion, gender identity, and adoption. Courts require the reason to confirm you are not changing your name to defraud creditors, evade law enforcement, or violate sex offender registry reporting requirements.
Criminal and Debt History Disclosure
Include a statement that you are not changing your name to avoid any debts, judgments, liens, or criminal liability. Most states require this disclosure as part of the name change petition process. Some states also require a background check or fingerprinting, particularly if the petitioner has a criminal history.
Supporting Documentation Reference
Reference any supporting documents attached to the affidavit, such as a marriage certificate, divorce decree, court order, or newspaper publication proof. Under California CCP 1275-1279.6, the petition must include a decree signed by the judge, and some states require proof of publication in a newspaper of general circulation.
Notarization and Court Filing
The name change affidavit must be notarized. The affiant signs before a notary public who verifies identity, administers the oath, and applies the notary seal. File the notarized affidavit with the court along with the name change petition, the court filing fee (ranging from $25 to $500 depending on state and county), and any required supporting documents.
Legal Details: Key Clauses in a Name Change Affidavit
Affiant Declaration
I, [____________] ("Affiant"), being duly sworn, state under penalty of perjury that the following information is true and correct. I am over eighteen (18) years of age and competent to make this Affidavit.
Current Legal Name
My current legal name is: [____________]. Date of Birth: [____________]. Social Security Number: [____________]. Current Address: [____________].
Requested New Name
I wish to change my legal name to: [____________]. I request that this name change be reflected on all government-issued identification, records, and documents.
Reason for Change
The reason for this name change is: [marriage / divorce / personal preference / gender identity / adoption / return to birth name / other: ____________].
No Fraudulent Purpose
I affirm that this name change is not sought for any fraudulent, deceptive, or illegal purpose, including but not limited to evading debts, avoiding criminal liability, or deceiving any person or entity. I am not a registered sex offender required to maintain registration under my current name.
Criminal History
I [have / have not] been convicted of a felony. If yes: [description of conviction, date, jurisdiction: ____________]. I [am / am not] currently subject to probation, parole, or any court-imposed restrictions.
Pending Litigation
I [am / am not] currently a party to any pending litigation in which I am identified by my current name. I [have / have not] filed for bankruptcy in the past [seven (7)] years.
Penalties of Perjury
I declare under penalty of perjury under the laws of the State of [_____________] that the foregoing is true and correct. I understand that providing false information may result in criminal prosecution and denial of the name change petition.
Execution and Notarization
Subscribed and sworn to before me on [____________]. [Notary block with seal and commission expiration.]
Signature Requirements
Electronic Signature with Notarization
The affiant must sign this name change affidavit under oath before a notary public. Notarization is mandatory because the affidavit contains sworn declarations about identity, criminal history, and intent that are subject to penalties of perjury.
Related Affidavits Templates
A name change affidavit is often used alongside other affidavits documents. Depending on your situation, you may also need:
How to Fill Out a Name Change Affidavit
Enter Your Current Legal Name
Write your current full legal name exactly as it appears on your government-issued ID or birth certificate. Include your first name, middle name(s), and last name. If you have had a previous name change, use the name from the most recent court order.
Enter Your Requested New Name
Write the complete new name you are requesting, including first, middle, and last names. Be precise because the court order will reflect exactly what you write here. This is the name that will appear on all future identification documents.
State the Reason for the Change
Write a clear, honest explanation of why you are changing your name. If it is due to marriage, reference the marriage certificate. If it is a personal preference, explain your motivation. Courts approve nearly all name changes that are not made for fraudulent purposes. After the change is granted, you may also need a proof of residency affidavit template when updating your driver's license.
Complete the Criminal and Debt Disclosure
Confirm that you are not changing your name to avoid debts, judgments, or criminal liability. If you have a criminal history, disclose it as required by your state. Some states prohibit name changes for registered sex offenders or require additional court approval for petitioners with felony convictions.
Attach Supporting Documents
Gather and attach all required supporting documents: marriage certificate (for marriage-related changes), divorce decree (for reverting to maiden name), proof of newspaper publication (if required by your state), and any other documents required by local court rules.
Notarize and File with the Court
Sign the printable name change affidavit before a notary public. File the notarized legal name change template, the name change petition, and all supporting documents with the court clerk. Pay the court filing fee or submit an in forma pauperis waiver application if you cannot afford the fee. After the court grants the order, use it to update your Social Security Administration records, driver's license, and passport (Form DS-60).
Free Template vs Custom Name Change Affidavit
| Feature | Free Template | Custom (AI or Attorney) |
|---|---|---|
| Basic name change affidavit format | ||
| Criminal and debt disclosure sections | ||
| State-specific court form complianceCA, NY, TX, FL, etc. | - | |
| Newspaper publication instructions | - | |
| Attorney review and customization | - | |
| Printable name change affidavit (PDF/Word) |
Key Facts About Name Change Affidavit Documents
Name change filing fees range from $25 to $500 depending on state and county.
Many states require newspaper publication of name change for specified period.
Person cannot change name to avoid debts judgments or criminal liability.
California CCP 1275-1279.6 governs adult name change petition procedure.
Form DS-60 is used to update name on US passport after legal name change.
Key Legal Terms in a Name Change Affidavit
When a Free Template Is Not Enough
Free templates cover standard situations, but a professionally drafted name change affidavit accounts for state-specific requirements, unusual circumstances, and enforceability considerations that generic forms miss. If your situation involves significant assets, complex terms, or potential disputes, request an attorney-drafted name change affidavit with a custom quote based on your situation.
Name Change Affidavit Template FAQ
What is a name change affidavit?
What is the difference between a name change affidavit and petition?
How much does it cost to legally change your name?
Do I need a court order to change my name?
Can I change my name without going to court?
How do I change my name after marriage?
What documents do I need to change my name?
How long does a legal name change take?
More Free Templates
Need a Customized Name Change Affidavit?
Need this document customized for your situation?