Fillable PDF
Name Affidavit Form with Jurat
Download a name affidavit reference form with a California jurat certificate.
Download fillable PDF
Review the form and current official requirements before use. NotaryPrimer does not provide legal advice.
When this form may be useful
A signer may use a name affidavit to state that multiple listed name variations refer to the same person.
Before you use it
The signer should confirm every name variation before swearing or affirming to the statement; the notary then completes the jurat.
Source and scope
NotaryPrimer reference form; acceptance depends on the receiving party. Confirm current wording and instructions with the official source.
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