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Pennsylvania ) _________________________________ (Position, if applicable) _____________________ ___________________________________ (Name) ___________________________________ (Position, if applicable) _________________________________ _________________________________ (Namethe heirs, 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. ___________tradicted 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 he Parties 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 con___________________________________________________________________________ ____________________________________________________________________________ ________________ OTHER TERMS OF THE CONTRACT: T____________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ______________ ____________________________________________________________________________ ____________________________________________________________________________ ________________________________ee as follows: AMENDMENT: The Contract is amended as follows: [Describe the amendment below or attach it as an exhibit to this document] _______________________________________________________________ng ___________________________________________________________ ___________________________ (the "Contract"); and WHEREAS, the Parties wish to amend the Contract. NOW, THEREFORE, the Parties hereby agr ____________________________________________________________, who may collectively be referred to as the "Parties." WHEREAS, the Parties entered into an agreement dated ________________, 20__ regardiruly, [Insert your name] AMENDMENT TO CONTRACT This Amendment to Contract (this "Amendment") is entered as of ____________________, 20____ by and between ________________________________________ andve any 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 T________________________[insert name] Please change the name on the account to my new married name: ___________________ ______________________________________________________________________ If you hadress] RE: ACCT. # [insert account number if applicable] To Whom It May Concern: I am writing to inform you that I have recently married 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 Ad______ 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 _____________________________ed and have changed my name and address. The current name and address for my account are ___________________________________ Former Name ___________________________________ Former Street Address _____ert 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 inform you that I have recently marringes. The forms for the address change can be found at your local post office or on the web at: http://www.usps.com/moversguide/ Just Married ­ Name Change Kit (Instructions) 6 SAMPLE LETTER 1 [Insn begin receiving mail for you 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 chalub or any organizations, either call their member services or send them a letter informing them of you name change. Again, you can use one of the enclose sample letters. [_] Post Office. You will soolly you will only need to contact your personnel department and inform them of the change. They may have you complete a new 1044 or other forms. [_] Clubs and Organizations. If you are a member of a ce documents (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, usuaChange Kit (Instructions) 5 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 employenerally, 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 Just Married ­ Name hat steps you need to take to complete these changes. [_] Contracts. If you are a party to any legal contracts (e.g. lease, supply, services), they will need to be amended to reflect your new name. Ge any will, trust or other similar document. In addition, with you new marriage, you may also want to change your beneficiary or make other amendments. Contact your lawyer or trust officer to discuss whey may require that you send them written notification of this change. In that case, you can use one of the sample letters included in this kit. [_] Wills, Trusts, etc. You should change your name onou have car, home or life insurance, 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). Tds, not only to avoid confusion, but because your driver's license will now have your new name. You can use one of the attached sample letters to notify your credit card companies. [_] Insurance. If yrequired will change depending on the institution, but they will generally accept you marriage license and driver's license). [_] Credit Cards. It is a good idea to change your name on your credit cares provider and ask them what the procedure for a name change is. Often, these type of institutions will require that you come in person and present them with acceptable proof of identity (this proof You will need to inform all of your financial institutions of your name change. This will include any saving, checking or investment accounts you may have. Contact your bank or other financial servic 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 Investment Accounts..) 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 would prefer to you can check the Federal Election Commission's website at: http://www.fec.gov/pages/electpg.htm [_] Utilities. All of your utility statements (including water, gas, electricity, internet, cable, etck 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 informationr 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. Just asb/irspdf/f8822.pdf or http://www.findlegalforms.com/public/f8822.pdf in Adobe Acrobat PDF format. Just Married ­ Name Change Kit (Instructions) 4 [_] Voter Registration. Typically you can change youeed to complete Form 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.irs.gov/pux 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 change. If you have also changed your address, you will nly for you passport by submitting Form 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 Taice Passport Services Lockbox ATTN: Password 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 reappage certificate, new photos, old passport 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 servo send a certified copy of your marriage certificate, 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, marri 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 form, you will need t-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 last 15 years. You cantructions) 3 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 use either Form DSassport should be sent to: If using the U.S. Postal Service National Passport Processing P.O. Box 13290 Philadelphia, PA 19101-3290 If using other delivery service Just Married ­ Name Change Kit (Ins(2"x2"). There is no fee for this service. Once completed, your amended passport and marriage certificate will be returned to you by priority mail. The form, marriage certificate, new photos and old pww.findlegalforms.com/public/DS5504.pdf Along with the completed form, you will need to send a certified copy of your marriage certificate, your old passport and two recent, color photos of you alone ear, 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://wAdobe Acrobat PDF format. [_] 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 y charge for registration card). Form mv-41a can be downloaded from the following links: http://www.dot3.state.pa.us/pdotforms/mv_forms/mv-41a.pdf or http://www.findlegalforms.com/public/mv-41a.pdf in driver's license. You will need to visit your local Driver's License Center and complete Form mv-41a. Complete the form according to the instructions and submit the required fee ($22.50 for title, nofindlegalforms.com/public/DL-80.pdf in Adobe Acrobat PDF format. [_] Vehicle Title and Registration. To change your name on you vehicle title and registration is similar to changing your name on yourage certificate to Form DL-80. No fee will be charged for the correction. Form DL-80 can be downloaded from the following links: http://www.dot3.state.pa.us/pdotforms/dl_forms/dl-80.pdf or http://www.ocal Driver's License Center in person. Here they will have you complete a Form DL-80. You will also be asked to attach a certified Just Married ­ Name Change Kit (Instructions) 2 copy of your marri/ss-5.pdf or http://www.findlegalforms.com/public/ss5.pdf in Adobe Acrobat PDF format. [_] Driver's License. To change the name and your address on your driver's license you will need to visit your ly 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/onlinecan visit your nearest Social Security Office in person. Once completed, the form should be mailed (along with the original or certified copy of your marriage certificate) to your local Social Securitment, so if you mail your SS-5 form, you will also need to mail your original marriage certificate. If you feel uncomfortable mailing an original or a certified copy of your marriage certificate, you ecurity card, complete Form SS-5 (access information can be found below). You will need to provide proof of your name change--your marriage certificate will qualify. The SSA requires the original docu 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 change your name on your social s[_] 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's license. The reason for thisopy will cost and how soon it can be delivered to you. Step 3: Changing Documents and Identification. To keep from getting confused or overlooking one of the forms, check each off as you complete it. opy of your marriage certificate, you can visit the county or city clerk's office where you originally took out your application for a marriage license. The clerk can tell you how much the certified cructions Carefully. You need to read these instructions as well as the instructions contained in any of the enclosed forms. Step 1: Certified Copies of Your Marriage Certificate. If you need another cce Companies 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Instructions Just Married ­ Name Change Kit Pennsylvania Step 1: Read the Inst and Organizations 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Post Office Other:____________________ Other:____________________ Insuran_____________ 3) _______________________ 4)________________________ Employee Documents 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Clubs_____________________ Wills, Trusts, etc. 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Contracts 1) _______________________ 2) _____________________________ 2) _______________________ 3) _______________________ 4)________________________ Credit Cards 1) _______________________ 2) _______________________ 3) _______________________ 4)___tion/Title Passport I.R.S. Voter Registration Utilities 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Bank and Investment Accounts 1) ____ney should be consulted for all serious legal matters. Just Married ­ Name Change Kit (Information) 2 Just Married ­ Name Change Kit Checklist Social Security Card Driver's License Vehicle Registrauption), 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 these materials. An attory direct, indirect, 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 interrss 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 responsible or liable for an 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, suitability or completeneare 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 these materials is subjectither filled out by hand or on a typewriter. The above forms will be modified by the State of Pennsylvania from time to time, so you should check with your local government agency to ensure that they 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 usually have to be ering 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 print as legiblyLinks to Form DL-80 (driver's license); Links to Form mv-41a (title and registration); Links to U.S. Passport forms; and Links to Form 8822 (I.R.S.) You can fill out the forms on the computer by enteame Change Kit; Checklist; Instructions for the Name Change Kit; (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) Sample Letter 1; Sample Letter 2; Contract Amendment; Links to Form SS-5 (social security); t if you are: (i) (ii) under the age of 18; changing your name for fraudulent or other improper purposes. Materials This form packet contains the following forms: (i) (ii) (iii) Information for the Nongratulations! Requirements To use this packet you must be: (i) Over the age of 18, (ii) a resident of the state of Pennsylvania, and (iii) recently or soon to be married You may not use this packe change your name on government documents; letters notifying companies, organizations and agencies of your name change; and a helpful checklist to ensure that you don't miss any thing. Good luck and cy other official decrees. But although you have legally changed your name, your records and identification will not reflect this. That's where we come in. This kit contains forms that you will need to quickly and as painlessly as possible. As a point of reference, a marriage license granted by the state showing your new name qualifies as a legal name change. You don't have to go to court or get anInformation Just Married ­ Name Change Kit Pennsylvania Overview Just married or soon to be? Our name change kit is designed to help the new bride or groom start their new life with their new name, as Pennsylvania