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Mississippi ___________________________ (Position, if applicable) _____________ ___________________________________ (Name) ___________________________________ (Position, if applicable) _________________________________ _________________________________ (Name) ______s, legal representatives, successors and permitted assigns of the Parties. IN WITNESS WHEREOF, the parties have caused this Amendment to be executed the day and year written above. ___________________d by this Amendment, in which event the terms of this Amendment shall control. BINDING EFFECT: The covenants and conditions contained in this Amendment shall apply to and bind the parties and the heires agree that all other terms, conditions and obligations of the Contract remain in effect throughout the term of the Contract except for those provisions of the Contract that are directly contradicte___________________________________________________________________ ____________________________________________________________________________ ________________ OTHER TERMS OF THE CONTRACT: The Parti____________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ______________ ____________________________________________________________________________ ____________________________________________________________________________ ________________________________________llows: AMENDMENT: The Contract is amended as follows: [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 fo_____________________________________________________, who may collectively be referred to as the "Parties." WHEREAS, the Parties entered into an agreement dated ________________, 20__ regarding _____[Insert your name] AMENDMENT TO CONTRACT This Amendment to Contract (the "Amendment") is entered as of ____________________, 20____ by and between ________________________________________ and _______questions 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, _________________________[insert name] Please change the name on the account to my new name: ___________________ ______________________________________________________________________ If you have any ] 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. The current name on my account is: _____-______________. Thank you for your prompt attention to this matter. Yours Truly, [Insert your name] SAMPLE LETTER 2 [Insert Date] Client Services [Insert Company Name] [Insert Company Address_ Street Address ___________________________________ City, State and Zip If you have any questions or need additional information or documentation, please do not hesitate to contact me at (______) ____________________________ Former City, State and Zip Please change the name and address on the account to the following: ___________________________________ New Name __________________________________d have changed my name and address. The current name and address for my account are ___________________________________ Former Name ___________________________________ Former Street Address __________lient Services [Insert Company Name] [Insert Company 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 anThe forms for the address change can be found at your local post office or on the web at: http://www.usps.com/moversguide/ Divorce ­ Name Change Kit (Instructions) 6 SAMPLE LETTER 1 [Insert Date] Coon 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 change, but you will need to inform them of any address changes. 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 letters enclosed with this package. [_] Post Office. You will sa simple name change, but may wish to contact the company for membership adjustments. [_] Doctors and Other Medical Personnel. You should contact any doctors, dentists, or other medical personnel withname change. Again, there may be additional steps to take if you maintained a joint membership at these clubs or organizations with your spouse. You can use one of the enclosed sample letters to make e new 1044 or other forms. [_] Clubs and Organizations. If you are a member of a club or organization, you should either call their member services number, or send them a letter informing them of 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 department and inform them of the change. They may have you completcontract amendment with this kit. [_] Employee Documents. Making changes to employee documents (personnel records, W-2s, paychecks) is usually quite easy. You work with these people, so they know you,y information on that agreement. Review your copy of these agreements, or contact your lawyer, to determine what steps you must take to change your name. For your reference we have included a generic o any legal contracts (e.g., leases, supply contracts, services contracts), they will need to be amended to reflect your new name. Generally, each contract will specify the steps necessary to amend antrust officer to discuss what steps you need to take to complete these changes. Forms for amending your will can also be found at www.findlegalforms.com. [_] Contracts. If you personally are a party tge your name on any will, trust, or other similar document. In addition, in connection with your divorce, you may also want to change your beneficiary or make other amendments. Contact your lawyer or m 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 included in this kit. [_] Wills, Trusts, etc. You should chanbe found on your last statement). If you wish to remove your spouse from this insurance, Divorce ­ Name Change Kit (Instructions) 5 this may involve additional steps of which your carrier will inforhe same car, home, or life insurance that you had 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 your new name and will not have or reflect your 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 tely, 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 confusion, but because your driver's license will now have ny questions that you may have. [_] Credit Cards. 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. Alternative settlement, you may need to establish new accounts for your property. This should be a fairly straightforward process, and representatives associated with those institutions will be able to answer acense). 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 property (i.e., the accounts) has been divided in your divorc you come in person and present them with acceptable proof of identity (this proof required will change depending on the institution, but they will generally accept your divorce decree and driver's listment accounts you have been awarded. Contact your bank or other financial services provider and ask them what the procedure for a name change is. Often, these types of institutions will require thatnts maintained during your marriage are deemed your property in your divorce settlement, you will need to inform those institutions of your name change. This will include any saving, checking, or inver 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 Investment Accounts. To the extent that the bank and investment accouprocess 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 would prefer to send one, we have included two Sample Letters foUtilities. If you are remaining at your old house or apartment, all of your utility statements (including water, gas, electricity, internet, cable, etc.) will need to be changed to your new name. The or public library. All of these institutions should have the forms you need. For more information you can check the Federal Election Commission's website at: http://www.fec.gov/pages/electpg.htm [_] stration information and amendment opportunities on the same form with license amendments. Just ask the clerk at the DMV what you need to do. You can also visit your local city hall, county courthouse Divorce ­ Name Change Kit (Instructions) 4 [_] Voter Registration. Typically you can change your voter registration at the same time you change your driver's license. Many states include voter regi information are included with the form. Form 8822 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. contact the IRS within 10 days to report the change. If you have also changed your address, you will need to complete Form 8822 (access information can be found below). Mailing instructions and otherormation on Form DS-11, visit http://travel.state.gov/passport/forms/ds11/ds11_842.html. [_] Federal Tax Information. Once you have contacted and made your name change official with the SSA, they willgh, 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 Form DS-11. This will require additional documentation. For infce National Passport Processing P.O. Box 371971 Pittsburgh, PA 15250-7971 If using other delivery service Passport Services Lockbox ATTN: Password Supervisor 371971 500 Ross St, Room 154-0670 Pittsburotos 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 passport and fee should be sent to: If using the U.S. Postal Servi2_843.html or at http://www.findlegalforms.com/public/ds0082.pdf. Along with your completed form, you will need to send a certified copy of your divorce decree, your old passport, two recent, color pheast 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 the internet at http://travel.state.gov/passport/forms/ds82/ds8Castle, 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 DS-82 if: i) you can submit your old passport; ii) you were at lcessing P.O. Box 13290 Philadelphia, PA 19101-3290 If using other delivery service Divorce ­ Name Change Kit (Instructions) 3 National Passport Processing ATTN: Department 13290 1617 Brett Road New ed passport and divorce decree will be returned to you by priority mail. The form, divorce decree, new photos and old passport should be sent to: If using the U.S. Postal Service National Passport Prod 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"). There is no fee for this service. Once completed, your amend Form). You can download this form off the internet at http://www.travel.state.gov/passport/forms/ds5504/ds5504_2663.html and/or http://www.findlegalforms.com/public/DS5504.pdf Along with the complete. 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 year, you can use Form DS-5504 (the U.S. Passport Re-applicationtion sticker expires soon, you may make appropriate corrections on the renewal application; however, the title and registration must be corrected at the same time. [_] Passport. Form DS-5504 and DS-82tle. The procedures for this change will vary from institution to institution, but a representative of your financing company should be able to walk you through the process. Note that if your registrap://www.mstc.state.ms.us/info/offices/main.htm. If your vehicle is being financed, you will need to contact the institution that is financing your vehicle in order to complete a name change on your tied to apply for a new title in your new name. Forms to complete this change are available at your local Mississippi State Tax Commission office. These offices may be located at the following link: htt.us/dps/dps.nsf/divpages/hp2drivermap?OpenDocument. [_] Vehicle Title and Registration. If you own the title to your car and wish to change the name on your title and on your registration, you will ne (Instructions) 2 change. The Department of Public Safety is located at 1900 E. Woodrow Wilson, Jackson, Mississippi, 39216. To locate the nearest Driver License Office visit http://www.dps.state.ms office near you, where you will be asked to show your old license and a copy of your certified divorce decree or other dissolution of marriage documents reflecting your name Divorce ­ Name Change Kitlforms.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 the Department of Public Safety or a driver's licenseted 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/online/ss-5.pdf or http://www.findlegaial 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 Security Office. The office will be lisu 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 decree, you can visit your nearest Soccard, 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 requires the original document, so if yo 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 change your name on your social security al 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's license. The reason for this is that 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 each off as you complete it. [_] Socivorce 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 clerk with the docket number associatedntained 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 city clerk's office at which your di_____________ Other:____________________ Instructions Divorce ­ Name Change Kit Mississippi Step 1: Read the Instructions Carefully. You need to read these instructions as well as the instructions co__ 4)________________________ Doctors and Other Medical Personnel 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Post Office Other:__________________________ 2) _______________________ 3) _______________________ 4)________________________ Insurance Companies 1) _______________________ 2) _______________________ 3) __________________________________ 4)________________________ Employee Documents 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Clubs and Organizations 1) ____, Trusts, etc. 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Contracts 1) _______________________ 2) _______________________ 3) _____________________________ 3) _______________________ 4)________________________ Credit Cards 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ WillsVoter Registration Utilities 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Bank and Investment Accounts 1) _______________________ 2) ____sulted for all 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. 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 these materials. An attorney should be cont, incidental, 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 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 responsible or liable for any direct, indirecers 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, suitability or completeness of any of the Disclaimer No 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 "Disclaima typewriter. The forms linked in this packet may be modified by the State of Mississippi from time to time, so you should check with your local government agency to ensure that they are up to date. f 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 usually have to be either filled out by hand or on 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 print as legibly and neatly as possible. Some ontract Amendment; 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 ontains the following forms: (i) (ii) (iii) Information for the Name Change Kit; Checklist; Instructions for the Name Change Kit; (iv) (v) (vi) (vii) (viii) (ix) Sample Letter 1; Sample Letter 2; Co) recently 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 c and 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 Mississippi; and (iiict this. 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;ies as 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 refleformer 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 qualifInformation Divorce ­ Name Change Kit Mississippi 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 Mississippi