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RE: Notification of Legal Name Change — Account/Reference No. ________
Dear Sir or Madam,
§ 1. Purpose of Notice. I am writing to formally notify you that my legal name has been changed, and to request that you update your records accordingly. This letter constitutes written notice of such change pursuant to the records-maintenance requirements applicable to your business and, where relevant, the Fair Credit Reporting Act, 15 U.S.C. § 1681 et seq.
§ 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.
§ 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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