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Change of Name Deed Poll - Template, Sample Form Online

✓ Valid in United Kingdom

Create your Change of Name Deed Poll - Template, Sample Form Online for use in United Kingdom. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share.

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Change of Name Deed Poll - Template, Sample Form Online
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CHANGE OF NAME DEED POLL

THIS DEED OF CHANGE OF NAME is made on ________

BY

(1) ________, formerly known as, ________ of

________

BACKGROUND

(A) I have changed my name and wish to renounce my former name.

THIS DEED DECLARES as follows:

I. RELATIONSHIP STATUS

I confirm that I am single.

II. CITIZENSHIP STATUS

III. OLD NAME

Before I changed my name to ________, my name was ________.

IV. RENUNCIATION OF OLD NAME

I absolutely renounce the use of my former name of ________ and determine to assume and use the name of ________ in its place.

V. USE OF NEW NAME IN DOCUMENTS

I declare that I shall at all times from now on in all documents, records, deeds, actions, proceedings, in all dealings and transactions and on all occasions use the name of ________ as my name in place of my former name of ________.

VI. AUTHORITY FOR THIRD PARTIES TO USE NEW NAME

I authorise and require everyone to refer to me and to address me by my new name of ________.

SIGNED AS A DEED AND DELIVERED by ________, formerly known as, ________:



Signed:..............................................

________

formerly known as



Signed:..............................................

________


IN THE PRESENCE OF:



Signed:..............................................

Full name of witness:

...........................................................

Address of witness:

...........................................................

...........................................................

...........................................................

...........................................................

Occupation of witness:

...........................................................

Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.