Professional Documents
Culture Documents
I AM, robert james harris, living flesh and blood, sentient man, travelling on the land, and occasionally being near 101 Pomona
Avenue, Newark, New Jersey, now or lately known as ROBERT JAMES HARRIS et al, Having Full Faith and Credit Number:
Witnesses and it is hereby declared as follows:
(i) I absolutely and entirely renounce, relinquish and abandon the use of said former name ROBERT JAMES HARRIS and
assume, adopt and determine to take and use from the date hereof the name of robert james harris in substitution of aforesaid
former name of ROBERT JAMES HARRIS.
(ii) I shall at all times hereafter in all records, deeds documents and other writings and in all actions and proceedings as well as
in all dealings and transactions and on all occasions whatsoever use and subscribe the said name of robert james harris as my
name in substitution for my former name of ROBERT JAMES HARRIS and any derivation thereof, so relinquished as
aforesaid to the intent that I may hereafter be called known or distinguished, not by the former name of ROBERT JAMES
HARRIS but by the name robert james harris, only.
iii) I authorize and require all persons at all times to designate, describe and address me by the adopted name of robert james
harris. The attester herein desires the enrolment to proceed.
In witness whereof, I have hereunto subscribed my adopted and substituted name of robert james harris, in favor of my said
former name of ROBERT JAMES HARRIS and have affixed my seal the day and year first above written.
Signed, sealed and delivered by the above-name man robert james harris.
IN WITNESS whereof, I hereunto subscribe, adopt and substitute robert james harris and also my said
former name, ROBERT JAMES HARRIS and have affixed my seal the day and year first above written.
SIGNED AND DELIVERED AS A DEED THIS DAY:_____________________________
New name autograph
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Old name signature
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Printed Name
Printed Name
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JURAT
New Jersey state)
)
Essex County
On this ____day of_________________2016, before me, the undersigned Notary Public on and for __________________ state, appeared
______________________________________and his/her two witnesses, ________________________________and
_______________________________known to me and proved to be on the basis of satisfactory evidence, to be the ones whose autographs
appear on this instrument and who acknowledged to me that they executed the same.
Witness my hand and official seal:
________________________________________
Notary
seal