Format for DEED POLL (change of name

  • February 1, 2018 1:49 PM GMT
    Fill in the details in brackets, then remove the brackets.


    Deed of Change of Name



    BY THIS DEED OF CHANGE OF NAME made by myself the undersigned [New Name] of [Your house number and street, your town] in the County of [Your county] formerly known as [Former Name], a British Citizen under section 37(1) of the British Nationality Act 1981



    HEREBY DECLARE AS FOLLOWS:



    I. I ABSOLUTELY and entirely renounce, relinquish and abandon the use of my said former name [Former Name] and assume, adopt and determine to take and use from the date hereof the name of [New Name] in substitution for my former name of [Former Name]



    II. I SHALL AT ALL TIMES hereafter in all records, deeds documents and other writings and in all actions and proceedings as well as in all dealings and transactions and on all occasions whatsoever use and subscribe the said name of [New Name] as my name, in substitution for my former name of [Former Name] so relinquished as aforesaid to the intent that I may hereafter be called known or distinguished not by the former name of [Former Name] but by the name [New Name]



    III. I AUTHORISE AND REQUIRE all persons at all times to designate, describe, and address me by the adopted name of [New Name]



    IN WITNESS whereof I have hereunto subscribed my adopted and substituted name of [New Name] and also my said former name of [Former Name].



    SIGNED AS A DEED THIS [Nth] DAY OF [Month] IN THE YEAR [year]





    [Sign new name here]

    by the above name

    [New Name]



    [Sign former name here]

    by the above name

    [Former Name]



    Witnessed by:



    [Witness signature here]

    [Witness name]

    [Witness address]





    [Witness 2 signature here]

    [Witness 2 name]

    [Witness 2 address]