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Georgia icable) ___ (Name) ___________________________________ (Position, if applicable) _________________________________ _________________________________ (Name) _________________________________ (Position, if appltted assigns of the Parties. IN WITNESS WHEREOF, the parties have caused this Amendment to be executed the day and year written above. ________________________________ ________________________________of this Amendment shall control. BINDING EFFECT: The covenants and conditions contained in this Amendment shall apply to and bind the parties and the heirs, legal representatives, successors and permiobligations of the Contract remain in effect throughout the term of the Contract except for those provisions of the Contract that are directly contradicted by this Amendment, in which event the terms _____________________ ____________________________________________________________________________ ________________ OTHER TERMS OF THE CONTRACT: The Parties agree that all other terms, conditions and ___________________________________________________________________ ____________________________________________________________________________ ___________________________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ _________ollows: [Describe the amendment below or attach it as an exhibit to this document] ____________________________________________________________________________ ________________________________________________ ___________________________ (the "Contract"); and WHEREAS, the Parties wish to amend the Contract. NOW, THEREFORE, the Parties hereby agree as follows: AMENDMENT: The Contract is amended as f_______, who may collectively be referred to as the "Parties." WHEREAS, the Parties entered into an agreement dated ________________, 20__ regarding ___________________________________________________ Amendment to Contract (the "Amendment") is entered as of ____________________, 20____ by and between ________________________________________ and _____________________________________________________cumentation, please do not hesitate to contact me at (______) ________-______________. Thank you for your prompt attention to this matter. Yours Truly, [Insert your name] AMENDMENT TO CONTRACT Thischange the name on the account to my new name: ___________________ ______________________________________________________________________ If you have any questions or need additional information or docable] To Whom It May Concern: I am writing to inform you that I have recently been divorced and have changed my name. The current name on my account is: _________________________[insert name] Please t attention to this matter. Yours Truly, [Insert your name] SAMPLE LETTER 2 [Insert Date] Client Services [Insert Company Name] [Insert Company Address] RE: ACCT. # [insert account number if appli______ City, State and Zip If you have any questions or need additional information or documentation, please do not hesitate to contact me at (______) ________-______________. Thank you for your prompnd Zip Please change the name and address on the account to the following: ___________________________________ New Name ___________________________________ Street Address _____________________________t name and address for my account are ___________________________________ Former Name ___________________________________ Former Street Address ___________________________________ Former City, State aompany Address] RE: ACCT. # [insert account number 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 currenat your local post office or on the web at: http://www.usps.com/moversguide/ Divorce ­ Name Change Kit (Instructions) 7 SAMPLE LETTER 1 [Insert Date] Client Services [Insert Company Name] [Insert CYou don't need to officially contact the U.S. Postal Service to inform them of your name change, but you will need to inform them of any address changes. The forms for the address change can be found orm them of your name change. This may be done either on the phone, or by using one of the letters enclosed with this package. [_] Post Office. You will soon begin receiving mail under your new name. ctors and Other Medical Personnel. You should contact any doctors, dentists, or other medical personnel with whom you have an ongoing relationship and Divorce ­ Name Change Kit (Instructions) 6 infip at these clubs or organizations with your spouse. 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. [_] Doanization, you should either call their member services 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 membershwill need only to contact your personnel department 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 orgts (personnel records, W-2s, paychecks) is usually 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 r, to determine what steps you must take to change your name. For your reference we have included a generic contract amendment with this kit. [_] Employee Documents. Making changes to employee documeno be amended to reflect your new name. Generally, each contract will specify the steps necessary to amend any information on that agreement. Review your copy of these agreements, or contact your lawyeending your will can also be found at www.findlegalforms.com. [_] Contracts. If you personally are a party to any legal contracts (e.g., leases, supply contracts, services contracts), they will need tyour divorce, you may also want to change your beneficiary or make other amendments. Contact your lawyer or trust officer to discuss what steps you need to take to complete these changes. Forms for amhe case, you can use one of the sample letters included in this kit. [_] Wills, Trusts, etc. You should change your name on any will, trust, or other similar document. In addition, in connection with o remove your spouse from this insurance, this 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 tad during your marriage, you will need to contact 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 t spouse's. You may use one of the attached sample 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 ht. If this is the case, it is a good idea to change your name on that card, not only to avoid confusion, but because your driver's license will now have your new name and will not have or reflect yours. If, during your marriage, you and your spouse shared a credit card, that account may be dissolved and you may need to apply for a new card. Alternatively, you may have kept ownership of that accounly straightforward process, and representatives associated with those institutions will be able to answer any questions that you may have. Divorce ­ Name Change Kit (Instructions) 5 [_] Credit Cardff on the transfer. In some instances, if the property (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 fairill change depending on the institution, but they 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 o and ask them what the procedure for a name change is. Often, these types of institutions will require that you come in person and present them with acceptable proof of identity (this proof required wwill need to inform those institutions of your name change. This will include any saving, checking, or investment accounts you have been awarded. Contact your bank or other financial services providerd is a name change only. [_] Bank and Investment Accounts. To the extent that the bank and investment accounts maintained during your marriage are deemed your property in your divorce settlement, you office. If they request a letter or if you would 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 secons (including water, gas, electricity, internet, 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 ation you can check the Federal Election Commission'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 statementst ask the clerk at the DMV what you need to do. 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 informe your voter registration at the same time you change your driver's license. Many states include voter registration information and amendment opportunities on the same form with license amendments. Ju22 can be accessed from this link http://www.irs.gov/pub/irspdf/f8822.pdf or http://www.findlegalforms.com/public/f8822.pdf in Adobe Acrobat PDF format. [_] Voter Registration. Typically you can changange. If you have also changed your address, you will need to complete Form 8822 (access information can be found below). Mailing instructions and other information are included with the form. Form 88e.gov/passport/forms/ds11/ds11_842.html. [_] Federal Tax Information. Once you have contacted and made your name change official with the SSA, they will contact the IRS within 10 days to report the ch to reapply for you passport by submitting Form DS-11. This will require additional Divorce ­ Name Change Kit (Instructions) 4 documentation. For information on Form DS-11, visit http://travel.statery service Passport Services Lockbox ATTN: Password Supervisor 371971 500 Ross St, Room 154-0670 Pittsburgh, PA 15262-0001 Option 3 If you don't qualify for either option 1 or option 2, you will neede form, divorce decree, new photos, old passport and fee should be sent to: If using the U.S. Postal Service National Passport Processing P.O. Box 371971 Pittsburgh, PA 15250-7971 If using other delivrm, you will need to send a certified copy of 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. Tht 15 years. You can download this form off the 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 fo use either Form DS-82 or DS-11. Use form DS-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 las0 If using other delivery service National Passport 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 Kit (Instructions) 3 The form, divorce decree, new photos and old passport should be sent to: If using the U.S. Postal Service National Passport Processing P.O. Box 13290 Philadelphia, PA 19101-329wo recent, color photos of you alone (2"x2"). There is no fee for this service. Once completed, your amended passport and divorce decree will be returned to you by priority mail. Divorce ­ Name Changerms/ds5504/ds5504_2663.html and/or http://www.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 tntly valid and was issued within the last year, 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/fowever, the title and registration must be corrected 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 curreative of your financing company should be able to walk you through the process. Note that if your registration sticker expires soon, you may make appropriate corrections on the renewal application; hot these documents, together with your original title, on your behalf to your county Tax Commissioner's office. The procedures for this change will vary from institution to institution, but a representnced, you will need to contact the institution that is financing your vehicle in order to complete a name change on your title. Forward them all of the required forms and fees, and ask that they submist also complete and bring with you Form MV-1, which may be found at the following link: http://www.dmvs.ga.gov/forms/pdf/motor/mv-1.pdf. The fee for this service is $18. If your vehicle is being finar new name, your current title and registration, your certified divorce decree, proof of insurance, and proof that your vehicle has passed an emission's inspection (if required by your county). You muunty may be found at the following link: http://www.dmvs.state.ga.us/locate/index.asp. Many Georgia counties require you to go in person to these offices. Bring with you your driver's license with you driver's license. After that, you may apply for a name change on your Georgia title and registration certificate at the Tax Commissioner's office in the county in which you reside. Offices in your conearest you, visit http://www.dmvs.ga.gov/locate/dloffices/index.asp. [_] Vehicle Title and Registration. Before you change your vehicle title and registration, you must have changed your name on your, if it is used only once in a four-year period. Note that under Georgia law, you must obtain this duplicate license within 60 days of your name change. To locate the Driver's License Services Office er's License Services Office where you will be asked to show your old license and a copy of your certified divorce decree. There is no fee Divorce ­ Name Change Kit (Instructions) 2 for this servicenline/ss-5.pdf or http://www.findlegalforms.com/public/ss5.pdf in Adobe Acrobat PDF format. [_] Driver's License. To change your name on your driver's license you must go in person to your local Drivcurity Office. The office will be listed under U.S. Government 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/oecree, you can visit your nearest Social Security Office in person. Once completed, the form should be mailed (along with the original or certified copy of your divorce decree) to your local Social Seuires the original document, so if you mail your SS-5 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 dge your name on your social security card, complete Form 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 req license. The reason for this is that the Department of 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 chaneach off as you complete it. [_] Social Security Card. Form SS-5. You should change your name with the Social Security Administration (the "SSA") before attempting to change your name on your driver'serk with the docket number associated with your divorce to facilitate this process. Step 3: Changing Documents and Identification. To keep from getting confused or overlooking one of the forms, check city clerk's office at which your divorce was granted. 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 clctions as well as the instructions contained in any of 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_______________ Post Office Other:____________________ Other:____________________ Instructions Divorce ­ Name Change Kit Georgia Step 1: Read the Instructions Carefully. You need to read these instru________________ 3) _______________________ 4)________________________ Doctors and Other Medical Personnel 1) _______________________ 2) _______________________ 3) _______________________ 4)_________________ Clubs and Organizations 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Insurance Companies 1) _______________________ 2) _______ 2) _______________________ 3) _______________________ 4)________________________ Employee Documents 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ 4)________________________ Wills, Trusts, etc. 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Contracts 1) _______________________counts 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Credit Cards 1) _______________________ 2) _______________________ 3) _______________hicle Registration/Title Passport I.R.S. Voter Registration Utilities 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Bank and Investment Achese materials. An attorney should be consulted for all serious legal matters. Divorce ­ Name Change Kit (Information) 2 Divorce ­ Name Change Kit Checklist Social Security Card Driver's License Veofits or business interruption), however caused and on any theory of liability, whether in contract, strict liability or tort (including negligence or otherwise) arising in any way out of the use of tonsible or liable for any direct, indirect, incidental, special, exemplary or consequential damages (including, but not limited to, procurement of substitute goods or service, loss of use, data, or pruitability or completeness of any of the materials for your particular needs. The materials are used at your own risk. In no event will FindLegalForms, Inc., its agents, partners or affiliates be respese materials is subject to the "Disclaimers and Terms of Use" found at findlegalforms.com. These materials are provided "AS-IS." We do not give any express or implied warranties of merchantability, sncy to ensure that they are up to date. Disclaimer No Attorney-Client relationship is created by use of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and use of thy have to be either filled out by hand or on a typewriter. The forms linked in this packet may be modified by the State of Georgia from time to time, so you should check with your local government ageint as legibly and neatly as possible. Some of the forms 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 usuallmputer by entering the requested information in the appropriate 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 prct Amendment; Links to Form MV-1 (vehicle title/registration); 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 cothe following forms: (i) (ii) (iii) Information for the Name Change Kit; Checklist; Instructions for the Name Change Kit; (iv) (v) (vi) (vii) (viii) (ix) (x) Sample Letter 1; Sample Letter 2; Contraly 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 Georgia; 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 Georgia 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 Georgia