Notice of Client Name Change

 

Company Name __________________________________________

Address ________________________________________________

City ______________________ State ______ Zip Code__________

Please be advised that the following client record has had a change of name.

Current name on account __________________________________

Account # ______________________________________________

Reference ______________________________________________

Please change the current name on the account to reflect the client's new name.

New Name _____________________________________________

Address _______________________________________________

City _______________________ State ______Zip Code_________

 

___ The above reflects a new change of address.

I authorize you to make the above referenced record change.  If you have any further questions regarding this matter please call me at: ________________

Sincerely,

_____________________________________________________________

 

Enc:  Name Change Court Decree