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Fill and Sign the Same Name Affidavit Form Download Printable PDF

Fill and Sign the Same Name Affidavit Form Download Printable PDF

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Select the affidavit of one and same person and open it.
Fill out the form and add an eSignature.
Save the affidavit of one and the same person, print, or email it.

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AFFIDAVIT OF NAME CHANGE(Of Corporation) STATE: COUNTY: Before me, the undersigned authority, on this day personally appeared (Name of Affiant), known to me to be the person whose name is subscribed to this Affidavit, who after having been first duly sworn, deposes and under oath stated:My name is ______. I am the (Name of Title) of (Name of Company), whose address is _____, which is the owner of the Oil and Gas Leases described in Exhibit “A” attached t o this Affidavit. I know that (Name of Company) is the owner of these leases, as successor to (Name of Former Company). This change of name of the owner of the leases is a result of: ______ A name change ______ A merger/consolidation, which is evidenced by the Certificate issued by the Secretary of State of (Name of St ate), on (Date), and is on file in that office. A true and correct copy of that Certificate is attached to this Affidavit as Exhibit “B.” Date: Affiant (Jurat) (Acknowledgment) Exhibit “A”: Description of Leases Exhibit “B”: Certificate of Name Change or Merger

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