Name Affidavit, Also Known As, AKA

name affidavit AKA Buffalo Bill CodyName Affidavit, Also Known As, AKA

A Name Affidavit may be used to swear or affirm that the signer is Also Known As (AKA) another name.  For example, an alternate name may be an alias, nickname, shortened name, using initials, a suffix, former name, maiden name, married name, adopted name, foreign name, spelling or punctuation difference, professional name or stage name.

Some examples of famous names: champion boxer Muhammad Ali, AKA “The Greatest“, formerly known as (FKA) Cassius Clay.  Norma Jean Baker, actress, professionally known as (PKAMarilyn Monroe.  President John Fitzgerald Kennedy, also known by his initials, JFK.  Harry Potter series author Joanne Kathleen Rowling, AKA J. K. Rowling.  Singer Adele Laurie Blue Adkins, known by her first name, Adele. Singer Elvis Aaron Presley, known as Elvis and “the King of Rock and Roll”.  Old West legend William Frederick Cody, AKA “Buffalo Bill” (see photo).

The signer makes a sworn statement under oath or affirmation of the facts while meeting with a notary.  The signer must show the notary a satisfactory form of photo identification and must sign the document in the presence of the notary.  Below is a sample form for a Name Affidavit or AKA Statement.

Some versions may also include sample signatures for the name variations, known as a Signature/Name Affidavit.

Name Affidavit

State of _______________
County of _______________

I certify, swear or affirm, and declare under penalty of perjury, the following facts are true and correct:

  1. My current name is ______________________________.
  2. My date of birth is _______________.
  3. My current place of residence is (city) ____________________ (state) __________.
  4. I am one and the same person, Also Known As (AKA) the following name(s)





5. Explanation (if any) ________________________________________________


Signature ______________________________

Date ____________________

Subscribed and sworn to, or affirmed, before me on this day, _______________, 20____ by ______________________________.

Notary Public


Sample Form: Name Affidavit, AKA

Disclaimer: This information is for educational purposes only and is not legal advice.  Contact an attorney for legal advice.

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