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West Virginia 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 morm you that I have recently married and have changed my name. The current name on my account is: _________________________[insert name] Please change the name on the account to my new married name: _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 infns 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 ccount to the following: ___________________________________ New Name ___________________________________ Street Address ___________________________________ City, State and Zip If you have any questio_______________________ Former Name ___________________________________ Former Street Address ___________________________________ Former City, State and Zip Please change the name and address on the anumber if applicable] To Whom It May Concern: I am writing to inform you that I have recently married and have changed my name and address. The current name and address for my account are ____________//www.usps.com/moversguide/ Just Married ­ Name Change Kit (Instructions) 6 SAMPLE LETTER 1 [Insert Date] Client Services [Insert Company Name] [Insert Company Address] RE: ACCT. # [insert account tal 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 the web at: http:ther 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 contact the U.S. Posrs 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 may be done eif a club or organization, you should either call their member services number, or send them a letter informing them of you name change. Again, you can use one of the enclosed sample letters. [_] Doctoe, usually you will 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 omployee 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 castact your lawyer, 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 ehey will need to 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 conwyer or trust officer to discuss what steps you need to take to complete these changes. [_] Contracts. If you are a party to any legal contracts (e.g., leases, supply contracts, services contracts), t. You should change your name on any will, trust, or other similar document. In addition, with your new marriage, you may also want to change your beneficiary or make other amendments. Contact your laend them written notification of this change. If that is the case, you can use one of the sample letters included in this kit. Just Married ­ Name Change Kit (Instructions) 5 [_] Wills, Trusts, etcinsurance, 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). They may require that you ssion, but because your driver's license will now have your new name. You may use one of the attached sample letters to notify your credit card companies. [_] Insurance. If you have car, home, or life ng on the institution, but they will generally accept your marriage license and driver's license). [_] Credit Cards. It is a good idea to change your name on your credit cards, not only to avoid confu 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 will change dependif 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 services provider and ask them whato 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. You will need to inform all oyour 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 send one, we have included twction Commission's website at: http://www.fec.gov/pages/electpg.htm [_] Utilities. All of your utility statements (including water, gas, electricity, internet, cable, etc.) will need to be changed to u 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 Eleme 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 what yottp://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 the sa 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 link h) 4 [_] 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 yourng 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. Just Married ­ Name Change Kit (InstructionsTTN: 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 reapply for you passport by submittid 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 service Passport Services Lockbox A 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, marriage certificate, new photos, olernet 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 of your: 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 the intt 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 DS-82 ift Married ­ Name Change Kit (Instructions) 3 If using the U.S. Postal Service National Passport Processing P.O. Box 13290 Philadelphia, PA 19101-3290 If using other delivery service National Passporhis 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 passport should be sent to: JusS5504.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 (2"x2"). There is no fee for t(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://www.findlegalforms.com/public/D 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 year, you can use Form DS-5504 ocess. Note that if your registration sticker expires soon, you may make appropriate corrections on the renewal application; however, the title and registration must be corrected at the same time. [_]complete a name change on your title. 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 prplicate registration card is $5, and the fee to obtain a duplicate title is $10. If your vehicle is being financed, you will need to contact the institution that is financing your vehicle in order to on to the Motor Vehicle Division Regional office nearest you. Information about these offices may be found at the following link: http://www.wvdot.com/6_motorists/dmv/6g5_offices.htm. The fee for a duard that has your new name on it as well. After you have obtained these documents, bring your title, driver's license, marriage certificate, the revised proof of insurance card, and current registratiu will need to sign the title over from your previous name to your new name. In other words, the "Seller" will be Jane Doe and the "Buyer" will be Jane Smith. You will need to obtain a new insurance cse services on a rotating schedule (as explained at the site): http://www.wvdot.com/6_motorists/dmv/6g1d_testsched.htm#anchor3. [_] Vehicle Title and Registration. If you own the title to your car, yoicles Regional office nearest to you, visit http://www.wvdot.com/6_motorists/dmv/6g5_offices.htm. Alternatively, you may visit any Division of Motor Vehicles Exam Center, which provides driver's licenyour certified Just Married ­ Name Change Kit (Instructions) 2 marriage certificate. The Division of Motor Vehicles generally charges $5 for a duplicate license. To locate the Division of Motor Vehchange your name on your driver's license you must go in person to your local Division of Motor Vehicles regional office or exam center, where you will be asked to show your old license and a copy of 72-1213. 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 Adobe Acrobat PDF format. [_] Driver's License. To e original or certified copy of your marriage certificate) to your local Social Security Office. The office will be listed under U.S. Government Agencies in your telephone book or you can call 1-800-7ncomfortable mailing an original or a certified copy of your marriage certificate, you can visit your nearest Social Security Office in person. Once completed, the form should be mailed (along with thname change--your marriage certificate will qualify. The SSA requires the original document, so if you mail your SS-5 form, you will also need to mail your original marriage certificate. If you feel uhe same before issuing you a new driver's license. To change 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 A") before attempting to change your name on your driver's 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 tm getting confused or overlooking one of the forms, check each off as you complete it. [_] Social Security Card. Form SS-5. You should change your name with the Social Security Administration (the "SSour application for a marriage license. The clerk can tell you how much the certified copy will cost and how soon it can be delivered to you. Step 3: Changing Documents and Identification. To keep frosed forms. Step 1: Certified Copies of Your Marriage Certificate. If you need another copy of your marriage certificate, you can visit the county or city clerk's office where you originally took out y______ Instructions Just Married ­ Name Change Kit West Virginia Step 1: Read the Instructions Carefully. You need to read these instructions as well as the instructions contained in any of the enclotors and Other Medical Personnel 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Post Office Other:____________________ Other:__________________________ 3) _______________________ 4)________________________ Insurance Companies 1) _______________________ 2) _______________________ 3) _______________________ 4)________________________ Doc_______ 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) _____________________________________ 2) _______________________ 3) _______________________ 4)________________________ Bank and Investment Accounts 1) _______________________ 2) _______________________ 3) __________ Married ­ Name Change Kit (Information) 2 Just Married ­ Name Change Kit Checklist Social Security Card Driver's License Vehicle Registration/Title Passport I.R.S. Voter Registration Utilities 1) _her 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 legal matters. Justuential 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 of liability, whetterials 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, exemplary or conseqms.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 particular needs. The mais 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 at findlegalfor may be modified by the State of West Virginia from time to time, so you should check with your local government agency to ensure that they are up to date. Disclaimer No Attorney-Client relationship 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 forms linked in this packetm 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 we provide access may besecurity); 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 appropriate fields or you can fill thenformation for the Name Change Kit; Checklist; Instructions for the Name Change Kit; (iv) (v) (vi) (vii) (viii) (ix) Sample Letter 1; Sample Letter 2; Contract Amendment; Links to Form SS-5 (social ot 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 the following forms: (i) (ii) (iii) IGood luck and congratulations! Requirements To use this packet you must be: (i) Over the age of 18; (ii) a resident of the state of West Virginia; and (iii) recently or soon to be married. You may nu will need to 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. get any other official decrees. But although you have legally changed your name, your records and identification cards will not reflect this. That's where we come in. This kit contains: forms that yos 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 again orInformation Just Married ­ Name Change Kit West Virginia 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, a West Virginia