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Arizona Position, if applicable) _________________________________ _________________________________ (Name) _________________________________ (Position, if applicable) the parties have caused this Amendment to be executed the day and year written above. ________________________________ ___________________________________ (Name) ___________________________________ ( The covenants and conditions contained in this Amendment shall apply to and bind the parties and the heirs, legal representatives, successors and permitted assigns of the Parties. IN WITNESS WHEREOF,oughout the term of the Contract except for those provisions of the Contract that are directly contradicted by this Amendment, in which event the terms of this Amendment shall control. BINDING EFFECT:__________________________________________________ ________________ OTHER TERMS OF THE CONTRACT: The Parties agree that all other terms, conditions and obligations of the Contract remain in effect thr___________________ ____________________________________________________________________________ ____________________________________________________________________________ ___________________________________________________________________________________________ ____________________________________________________________________________ _________________________________________________________it as an exhibit to this document] ____________________________________________________________________________ ____________________________________________________________________________ ___________act"); and WHEREAS, the Parties wish to amend the Contract. NOW, THEREFORE, the Parties hereby agree as follows: AMENDMENT: The Contract is amended as follows: [Describe the amendment below or attach the "Parties." WHEREAS, the Parties entered into an agreement dated ________________, 20__ regarding ___________________________________________________________ ___________________________ (the "Contrred as of ____________________, 20____ by and between ________________________________________ and ____________________________________________________________, who may collectively be referred to as e at (______) ________-______________. Thank you for your prompt attention to this matter. Yours Truly, [Insert your name] AMENDMENT TO CONTRACT This Amendment to Contract (the "Amendment") is ente__________________ ______________________________________________________________________ If you have any questions or need additional information or documentation, please do not hesitate to contact mnform you that I have recently been divorced and have changed my name. The current name on my account is: _________________________[insert name] Please change the name on the account to my new name: _t your name] SAMPLE LETTER 2 [Insert Date] Client Services [Insert Company Name] [Insert Company Address] RE: ACCT. # [insert account number if applicable] To Whom It May Concern: I am writing to iions or need additional information or documentation, please do not hesitate to contact me at (______) ________-______________. Thank you for your prompt attention to this matter. Yours Truly, [Inser account to the following: ___________________________________ New Name ___________________________________ Street Address ___________________________________ City, State and Zip If you have any quest_________________________ Former Name ___________________________________ Former Street Address ___________________________________ Former City, State and Zip Please change the name and address on theer if applicable] To Whom It May Concern: I am writing to inform you that I have recently been divorced and have changed my name and address. The current name and address for my account are __________://www.usps.com/moversguide/ Divorce ­ Name Change Kit (Instructions) 7 SAMPLE LETTER 1 [Insert Date] Client Services [Insert Company Name] [Insert Company Address] RE: ACCT. # [insert account numbge, but you will need to inform them of any address changes. The forms for Divorce ­ Name Change Kit (Instructions) 6 the address change can be found at your local post office or on the web at: httptters enclosed with this package. [_] Post Office. You will soon begin receiving mail under your new name. You don't need to officially contact the U.S. Postal Service to inform them of your name chanontact any doctors, dentists, or other medical personnel with whom you have an ongoing relationship and inform them of your name change. This may be done either on the phone, or by using one of the leouse. You can use one of the enclosed sample letters to make a simple name change, but may wish to contact the company for membership adjustments. [_] Doctors and Other Medical Personnel. You should cservices number, or send them a letter informing them of you name change. Again, there may be additional steps to take if you maintained a joint membership at these clubs or organizations with your spment and inform them of the change. They may have you complete new 1044 or other forms. [_] Clubs and Organizations. If you are a member of a club or organization, you should either call their member lly quite easy. You work with these people, so they know you, or are at least inclined to trust you because you work with them. In any case, usually you will need only to contact your personnel departnge your name. For your reference we have included a generic contract amendment with this kit. [_] Employee Documents. Making changes to employee documents (personnel records, W-2s, paychecks) is usuay, each contract will specify the steps necessary to amend any information on that agreement. Review your copy of these agreements, or contact your lawyer, to determine what steps you must take to chaegalforms.com. [_] Contracts. If you personally are a party to any legal contracts (e.g., leases, supply contracts, services contracts), they will need to be amended to reflect your new name. Generallbeneficiary or make other amendments. Contact your lawyer or trust officer to discuss what steps you need to take to complete these changes. Forms for amending your will can also be found at www.findlincluded in this kit. [_] Wills, Trusts, etc. You should change your name on any will, trust, or other similar document. In addition, in connection with your divorce, you may also want to change your may involve additional steps of which your carrier will inform you. They may require that you send them written notification of this change. If that is the case, you can use one of the sample letters ct your carrier to inform them of your name change. Give your carrier a call (the contact information can be found on your last statement). If you wish to remove your spouse from this insurance, this le letters to notify your credit card companies of this change. [_] Insurance. If you intend to maintain the same car, home, or life insurance that you had during your marriage, you will need to conta confusion, but because your driver's license will now have your new name and will not have or Divorce ­ Name Change Kit (Instructions) 5 reflect your spouse's. You may use one of the attached sampssolved and you may need to apply for a new card. Alternatively, you may have kept ownership of that account. If this is the case, it is a good idea to change your name on that card, not only to avoid associated with those institutions will be able to answer any questions that you may have. [_] Credit Cards. If, during your marriage, you and your spouse shared a credit card, that account may be diroperty (i.e., the accounts) has been divided in your divorce settlement, you may need to establish new accounts for your property. This should be a fairly straightforward process, and representativesey will generally accept your divorce decree and driver's license). In some instances, you may need to appear in person with your former spouse to sign off on the transfer. In some instances, if the pnge is. Often, these types of institutions will require that you come in person and present them with acceptable proof of identity (this proof required will change depending on the institution, but thname change. This will include any saving, checking, or investment accounts you have been awarded. Contact your bank or other financial services provider and ask them what the procedure for a name chat Accounts. To the extent that the bank and investment accounts maintained during your marriage are deemed your property in your divorce settlement, you will need to inform those institutions of your d prefer to send one, we have included two Sample Letters for this purpose. The first includes a change of address as well as a change of name. The second is a name change only. [_] Bank and Investmen cable, etc.) will need to be changed to your new name. The process is very casual and is often best completed by making a phone call to the appropriate office. If they request a letter or if you woulsion's website at: http://www.fec.gov/pages/electpg.htm [_] Utilities. If you are remaining at your old house or apartment, all of your utility statements (including water, gas, electricity, internet,. You can also visit your local city hall, county courthouse or public library. All of these institutions should have the forms you need. For more information you can check the Federal Election Commischange your driver's license. Many states include voter registration information and amendment opportunities on the same form with license amendments. Just ask the clerk at the DMV what you need to dos.gov/pub/irspdf/f8822.pdf or http://www.findlegalforms.com/public/f8822.pdf in Adobe Acrobat PDF format. [_] Voter Registration. Typically you can change your voter registration at the same time you hange Kit (Instructions) 4 8822 (access information can be found below). Mailing instructions and other information are included with the form. Form 8822 can be accessed from this link http://www.ird and made your name change official with the SSA, they will contact the IRS within 10 days to report the change. If you have also changed your address, you will need to complete Form Divorce ­ Name Cm DS-11. This will require additional documentation. For information on Form DS-11, visit http://travel.state.gov/passport/forms/ds11/ds11_842.html. [_] Federal Tax Information. Once you have contacteassword Supervisor 371971 500 Ross St, Room 154-0670 Pittsburg, PA 15262-0001 Option 3 If you don't qualify for either option 1 or option 2, you will need to reapply for you passport by submitting Forport and fee should be sent to: If using the U.S. Postal Service National Passport Processing P.O. Box 371971 Pittsburg, PA 15250-7971 If using other delivery service Passport Services Lockbox ATTN: Pf your divorce decree, your old passport, two recent, color photos of you alone (2"x2"), and a check for the fee amount. The fee for this service is $67. The form, divorce decree, new photos, old passhe internet at http://travel.state.gov/passport/forms/ds82/ds82_843.html or at http://www.findlegalforms.com/public/ds0082.pdf. Along with your completed form, you will need to send a certified copy o-82 if: i) you can submit your old passport; ii) you were at least 16 years old when the passport was issued and iii) the passport was issued within the last 15 years. You can download this form off tassport Processing ATTN: Department 13290 1617 Brett Road New Castle, DE 19720 Option 2 If your passport was issued more than one year ago, you will need to use either Form DS-82 or DS-11. Use form DSnt to: If using the U.S. Postal Service Divorce ­ Name Change Kit (Instructions) 3 National Passport Processing P.O. Box 13290 Philadelphia, PA 19101-3290 If using other delivery service National P There is no fee for this service. Once completed, your amended passport and divorce decree will be returned to you by priority mail. The form, divorce decree, new photos and old passport should be se.findlegalforms.com/public/DS5504.pdf Along with the completed form, you will need to send a certified copy of your divorce decree, your old passport and two recent, color photos of you alone (2"x2").r, you can use Form DS-5504 (the U.S. Passport Re-application Form). You can download this form off the internet at http://www.travel.state.gov/passport/forms/ds5504/ds5504_2663.html and/or http://wwwrected at the same time. [_] Passport. Form DS-5504 and DS-82. If you have a U.S. passport, your name should be amended. Option 1 If your passport is currently valid and was issued within the last yeao correct your registration is $4. Note that if your registration sticker expires soon, you may make appropriate corrections on the renewal application; however, the title and registration must be corivision within 10 days of your name change, of the number of vehicles registered to you, and of the vehicle identification numbers of those vehicles. The fee to correct your title is $4, and the fee tt a Motor Vehicle Division office and complete a title application and a registration application, which forms are available at each such office. Under Arizona law, you must notify the Motor Vehicle Dscripts/faqs.asp?section=dl#1 and http://servicearizona.com/addrinfo.html#namechange [_] Vehicle Title and Registration. To change the name and address on your title and registration you need to visist you, visit http://az.gov/webapp/offices/ Additional information about how to change your driver's license in the state of Arizona may be found at the following links: http://www.azdot.gov/mvd/faqs/sion. Wait at least 2 days after you have changed your name with the SSA so that their computer system may be updated to incorporate your information. To locate the Motor Vehicle Division office neareivision of a name or address change within 10 days of that change. However, as noted above, you will need to change your name with the SSA before your record may be changed with the Motor Vehicle Diviur old license and a certified copy of your divorce decree. The fee for this service is Divorce ­ Name Change Kit (Instructions) 2 $4. Note that you are required by law to notify the Motor Vehicle Dc/ss5.pdf in Adobe Acrobat PDF format. [_] Driver's License. To change your name and address on your driver's license you must visit a Motor Vehicle Division office. Here you will be asked to show yoovernment Agencies in your telephone book or you can call 1-800-772-1213. Form SS-5 can be downloaded from the following link. http://www.ssa.gov/online/ss-5.pdf or http://www.findlegalforms.com/publiice in person. Once completed, the form should be mailed (along with the original or certified copy of your divorce decree) to your local Social Security Office. The office will be listed under U.S. G form, you will also need to mail your original divorce decree. If you feel uncomfortable mailing an original or a certified copy of your divorce decree, you can visit your nearest Social Security Ofform SS-5 (access information can be found below). You will need to provide proof of your name change--your divorce decree will qualify. The SSA requires the original document, so if you mail your SS-5of Motor Vehicles (the "DMV") will check with the SSA to ensure that the information is the same before issuing you a new driver's license. To change your name on your social security card, complete F. Form SS-5. You should change your name with the Social Security Administration (the "SSA") before attempting to change your name on your driver's license. The reason for this is that the Department ce to facilitate this process. Step 3: Changing Documents and Identification. To keep from getting confused or overlooking one of the forms, check each off as you complete it. [_] Social Security Cardd. The clerk can tell you how much the certified copy will cost and how soon it can be delivered to you. It may be helpful to provide your local clerk with the docket number associated with your divorf the enclosed forms. Step 1: Certified Copies of Your Divorce Decree. If you need another copy of your divorce decree, you can visit the county or city clerk's office at which your divorce was grante_ Other:____________________ Instructions Divorce ­ Name Change Kit Arizona Step 1: Read the Instructions Carefully. You need to read these instructions as well as the instructions contained in any o_________________ Doctors and Other Medical Personnel 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Post Office Other:__________________________ 2) _______________________ 3) _______________________ 4)________________________ Insurance Companies 1) _______________________ 2) _______________________ 3) _______________________ 4)________ 4)________________________ Employee Documents 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Clubs and Organizations 1) ________________c. 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Contracts 1) _______________________ 2) _______________________ 3) _____________________________ 3) _______________________ 4)________________________ Credit Cards 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Wills, Trusts, etration Utilities 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Bank and Investment Accounts 1) _______________________ 2) ________________ll serious legal matters. Divorce ­ Name Change Kit (Information) 2 Divorce ­ Name Change Kit Checklist Social Security Card Driver's License Vehicle Registration/Title Passport I.R.S. Voter Registn any theory of liability, whether in contract, strict liability or tort (including negligence or otherwise) arising in any way out of the use of these materials. An attorney should be consulted for al, special, exemplary or consequential damages (including, but not limited to, procurement of substitute goods or service, loss of use, data, or profits or business interruption), however caused and or your particular needs. The materials are used at your own risk. In no event will FindLegalForms, Inc., its agents, partners or affiliates be responsible or liable for any direct, indirect, incidentas of Use" found at findlegalforms.com. These materials are provided "AS-IS." We do not give any express or implied warranties of merchantability, suitability or completeness of any of the materials foo Attorney-Client relationship is created by use of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and use of these materials is subject to the "Disclaimers and Termiter. The forms linked in this packet may be modified by the State of Arizona from time to time, so you should check with your local government agency to ensure that they are up to date. Disclaimer Nrms to which we provide access may be in Adobe Acrobat PDF format. You will need a free Adobe Acrobat Viewer to view and use them. PDF forms usually have to be either filled out by hand or on a typewrppropriate fields or you can fill them out manually. If you are filling out the forms manually and are not using a typewriter, use black ink and print as legibly and neatly as possible. Some of the fomendment; Links to Form SS-5 (social security); Links to U.S. Passport Forms; and Links to Form 8822 (I.R.S.) You can fill out the forms on the computer by entering the requested information in the athe following forms: (i) (ii) Information for the Name Change Kit; Checklist; (iii) (iv) (v) (vi) (vii) (viii) (ix) Instructions for the Name Change Kit; Sample Letter 1; Sample Letter 2; Contract Aly or soon to be divorced. You may not use this packet if you are: (i) (ii) under the age of 18; or changing your name for fraudulent or other improper purposes. Materials This form packet contains a helpful checklist to ensure that you don't miss any thing. Good luck. Requirements To use this packet you must be: (i) Over the age of 18; (ii) a resident of the state of Arizona; and (iii) recenthis. That's where we come in. This kit contains: forms that you will need to change your name on government documents; letters notifying companies, organizations, and agencies of your name change; andas a legal name change. You don't have to go to court again or get any other official decrees. But although you have legally changed your name, your records and identification cards will not reflect ter name and beginning your life anew. We hope to make this process as quick and as painless as possible. As a point of reference, a divorce decree granted by the state showing your new name qualifies Information Divorce ­ Name Change Kit Arizona Overview Divorce can be a draining and confusing process for all parties. This name change kit is designed to simplify the process of reclaiming your form Arizona