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Affidavit of Discrepancy
Affidavit of Discrepancy
I, , of legal
age, single/married/widow, citizen of and presently
residing at ,
after having been duly sworn to in accordance with law, do hereby depose and say:
That during my childhood and adult years, I have been accustomed to the use of
the name ;
That I am executing this Affidavit to clear any discrepancy which may arise
from official documents bearing either name “ ” or
“ “;
(Affiant)