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Vermont _____________ (Position, if applicable) _________________________________ _________________________________ (Name) _________________________________ (Position, if applicable) ITNESS WHEREOF, the parties have caused this Amendment to be executed the day and year written above. ________________________________ ___________________________________ (Name) ______________________BINDING EFFECT: 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 Wn 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 of this Amendment shall control. _________________________________________________________________ ________________ OTHER TERMS OF THE CONTRACT: The Parties agree that all other terms, conditions and obligations of the Contract remai__________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ______________ ____________________________________________________________________________ ____________________________________________________________________________ __________________________________________elow 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 follows: [Describe the amendment breferred to as the "Parties." WHEREAS, the Parties entered into an agreement dated ________________, 20__ regarding ___________________________________________________________ ________________________dment") is entered as of ____________________, 20____ by and between ________________________________________ and ____________________________________________________________, who may collectively be te to contact me at (______) ________-______________. Thank you for your prompt attention to this matter. Yours Truly, [Insert your name] AMENDMENT TO CONTRACT This Amendment to Contract (the "Amen my new name: ___________________ ______________________________________________________________________ If you have any questions or need additional information or documentation, please do not hesitaam 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 change the name on the account to Truly, [Insert 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 have 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 address on the account to the following: ___________________________________ New Name ___________________________________ Street Address ___________________________________ City, State and Zip If you are ___________________________________ Former Name ___________________________________ Former Street Address ___________________________________ Former City, State and Zip Please change the name andrt 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 current name and address for my accounthe web at: http://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. # [inseact 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 at your local post office or on ts 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. You don't need to officially conts) 6 [_] Doctors and Other Medical Personnel. You should contact any doctors, dentists, or other medical personnel with whom you have an ongoing relationship and inform them of your name change. This 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. Divorce ­ Name Change Kit (Instruction 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 membership at these clubs or organizationrsonnel 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 organization, you should either callhecks) 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 will need only to contact your pest take to change 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, paycname. Generally, 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 mud 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 to be amended to reflect your new o 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 amending your will can also be founample 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 your divorce, you may also want tsurance, 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 the case, you can use one of the s 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 to remove your spouse from this in 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 had during your marriage, you willood 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 your spouse's. You may use one of theand 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 account. If this is the case, it is a guld be a fairly straightforward process, and representatives associated with those institutions will be able to answer any questions that you may have. [_] Credit Cards. If, during your marriage, you ances, if the property (i.e., the accounts) has been divided in your divorce settlement, you may need to establish new accounts for your property. Divorce ­ Name Change Kit (Instructions) 5 This shoitution, 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 off on the transfer. In some inst 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 will change depending on the instutions of your name 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 procedurek 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 will need to inform those instit 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 second is a name change only. [_] Bancity, 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 office. If they request a letterElection 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 statements (including water, gas, electri 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 information you can check the Federal 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 ask the clerk at the DMV whatk 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 change your voter registration at theour 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 8822 can be accessed from this lin42.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 change. If you have also changed y you will need to reapply 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_8ckbox ATTN: Password Supervisor 371971 500 Ross St, Room 154-0670 Pittsburgh, PA 15262-0001 Divorce ­ Name Change Kit (Instructions) 4 Option 3 If you don't qualify for either option 1 or option 2,os, 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 delivery service Passport Services Loified 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. The form, divorce decree, new phots 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 to send a cert 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 can download thie 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 DS-82 or DS-11., 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 19101-3290 If using other delivery serviclone (2"x2"). There is no fee for Divorce ­ Name Change Kit (Instructions) 3 this service. Once completed, your amended passport and divorce decree will be returned to you by priority mail. The formor 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 two recent, color photos of you a 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/forms/ds5504/ds5504_2663.html and/n 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 currently valid and was issued withiniver's license section above, and pay a $7 fee. Note that if your registration sticker expires soon, you may make appropriate corrections on the renewal application; however, the title and registratioNotice of Legal Name Change linked above. To obtain a corrected registration card with your new name, you must complete the Application For: Duplicate or Corrected Registration, etc., linked in the drprocedures 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. You will also need to complete the rection fee, to your local DMV office. 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 title. The e found at the following link: http://www.aot.state.vt.us/dmv/documents/TA/VT/Tavt009.pdf. Bring these documents, together with your driver's license, your certified divorce decree and a $15 title corur previous name to your new name. In other words, the "Seller" will be Jane Doe and the "Buyer" will be Jane Smith. In addition, you will need to complete the Notice of Legal Name Change, which may boffice nearest you, visit http://www.aot.state.vt.us/dmv/ABOUTUS/OFFICES/OFFICES.htm. [_] Vehicle Title and Registration. If you own the title to your car, you will need to sign the title over from yoicense is generally $15. Note that you are required to notify the DMV within 30 days of your name change, so make sure that your visit to the DMV is timely. To locate the Department of Motor Vehicles ete an Application For: Duplicate or Corrected Registration, etc., which may be found at the following link: http://www.aot.state.vt.us/dmv/documents/TA/VL/Tavl015.pdf. The fee to obtain a duplicate lold license and a copy of your certified divorce decree or other dissolution of marriage documents reflecting your name change. You will Divorce ­ Name Change Kit (Instructions) 2 also need to complobe Acrobat PDF format. [_] Driver's License. To change your name on your driver's license you must go in person to your local Department of Motor Vehicles office where you will be asked to show your ies 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/public/ss5.pdf in AdOnce 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. Government Agenc 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 Office in person. s 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-5 form, you willes (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 Form SS-5 (accesu 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 of Motor Vehicle 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 Card. Form SS-5. Yon 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 divorce to facilitatforms. 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 granted. The clerk ca_____________ Instructions Divorce ­ Name Change Kit Vermont Step 1: Read the Instructions Carefully. You need to read these instructions as well as the instructions contained in any of the enclosed __ Doctors and Other Medical Personnel 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Post Office Other:____________________ Other:__________________________ 3) _______________________ 4)________________________ Insurance Companies 1) _______________________ 2) _______________________ 3) _______________________ 4)___________________________________ Employee Documents 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Clubs and Organizations 1) _______________________ 2) __________________ 2) _______________________ 3) _______________________ 4)________________________ Contracts 1) _______________________ 2) _______________________ 3) _______________________ 4)______________________________ 4)________________________ Credit Cards 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Wills, Trusts, etc. 1) _________s 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Bank and Investment Accounts 1) _______________________ 2) _______________________ 3) ____l 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 Registration Utilitie 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 all serious legamplary 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 on any theory ofar 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, incidental, special, exe 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 for your particulnt 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 Terms of Use" found linked in this packet may be modified by the State of Vermont from time to time, so you should check with your local government agency to ensure that they are up to date. Disclaimer No Attorney-Clie 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 typewriter. The formsds 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 forms to which weSS-5 (social security); (x) Links to U.S. Passport Forms; and (xi) Links to Form 8822 (I.R.S.) You can fill out the forms on the computer by entering the requested information in the appropriate fielnks to Application For: Duplicate or Corrected Registration, etc. (driver's license/vehicle registration); (viii) Links to Notice of Legal Name Change (vehicle title/registration); (ix) Links to Form the following forms: (i) (ii) (iii) Information for the Name Change Kit; Checklist; Instructions for the Name Change Kit; (iv) (v) (vi) (vii) Sample Letter 1; Sample Letter 2; Contract Amendment; Lily 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 Vermont; 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 Vermont 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 Vermont