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RE: Notification of Legal Name Change — Account/Reference No. ________
Dear Sir or Madam,
§ 2. Prior Name and Information on File. The name and information currently appearing in your records are as follows:
Former Legal Name: ________
Address on File: ________
Date of Birth: ________
Last Four Digits of SSN/Tax ID: ________
§ 3. New Legal Name and Information. Effective as of ________, please update your records to reflect my new legal name and current address as follows:
New Legal Name: ________
Current Address: ________
§ 4. Basis for and Documentation of Name Change. My name was lawfully changed by reason of ________. As supporting documentation, I have enclosed a certified copy of the ________ evidencing this change, together with a copy of my updated government-issued photo identification. These documents are provided solely for the purpose of verifying my identity and the name change, and I respectfully request that they be retained securely and used for no other purpose.
§ 6. Additional Requirements. If you require any additional forms, authorizations, or documentation to process this request, please advise me promptly so that I may complete and return them without delay.
§ 7. Contact Information. You may contact me with any questions at ________ or ________. Thank you for your attention to this matter and for promptly updating my records. I appreciate your assistance.
Sincerely,
_____________________________
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Date: ________
Enclosures: ________
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