Fillable HM Court LOC019 - Change of Name by Deed Poll

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HM Court LOC019 - Change of Name by Deed Poll

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Page 1
Enrolling a name change in
the Royal Courts of Justice
LOC019
03.19
What is a deed poll?
If you wish to legally change your name, or your children's names, you can use the Deed Poll process.
By Deed Poll, you can officially change any part or your entire name. For example, you can change your forenames,
surname (or both), add names, remove names, and change the spelling of your names. You can change your name by
Deed Poll as often as you want, at any time and for any reason provided it is not for deceptive or fraudulent purposes.
Enrolling a Deed Poll provides a public record of a person's name as the details of the name change are published in
the London Gazette online.
Deed Polls that have been enrolled at the Royal Courts of Justice in London remain with us for five years. After
which, they can be found at the National Archives.
What you need – adults
• LOC020 – Change of Name Deed for an Adult Form (DEED POLL)
• LOC021 – Statutory Declaration for an adult
• LOC025 – Notice for the London Gazette for an adult
What you need – minors (aged under 18) – permission from both parents/guardians required
• LOC022 – Change of Name Deed for a Minor (DEED POLL)
• LOC023 – Suggested form of Affidavit of Best Interest
• LOC024 – Statutory Declaration for a Minor
• LOC026 – Notice for the London Gazette for a Minor
The fee
Court Enrolment Fee £10.00
Advertisement Charge £24.00 (incl. VAT)
Copy of London Gazette £2.00
TOTAL £36.00
Cheques, Postal Orders or Bankers Draft should be made payable to ‘HMCTS’.
You can pay via cash or credit/debit card if you come to the Court in person.
Page 2
What if I am divorced?
If you wish to return to your Maiden name after a
divorce you only need to take your divorce papers to
your bank, place of work, passport office etc. rather
than change your name.
What if I am adopted?
If you are adopted and you wish to change your name
you need to have your adoption papers.
Whose permission do I need?
If you are married you need the written consent of
your husband or wife. it should state that there are no
objections for you to change your name from ‘X’ to ‘Y’.
This can be in the form of a letter.
If you are a minor (under the age of 18) then you need
the written consent from all of those people who have
‘Parental Responsibility’ for you. The court will also
require permission from minors between the age of
16-18, that they are aware and give consent to the
name change.
What if I was born in scotland?
You must contact the Scottish Courts to arrange a
change of name under their procedures.
What if I am living in scotland, but was
born in england?
You may do your Deed Poll with us. You should apply
to the:
Queens Bench Division
Action Department
Room E15
Royal Courts of Justice
Strand
London WC2A 2LL
Guidance on completing the forms
Below is some of the information you will need to
complete the forms
What section am I in accordance with
the British Nationality Act 1981?
If you were born in the United Kingdom the section
that applies varies depending on your age.
• If you were born on or after January 1st 1983
and a British Citizen the Section relevant to the
applicant is Section 1 (1)
• If you are a person who at December 31st
1982 was a Citizen of the United Kingdom and
Colonies and had the right to reside in the United
Kingdom under the Immigration Act 1971 the
relevant section is Section 11 (1)
If you were born outside of the United Kingdom and in
any of the following countries the relevant section will
be Section 37 (1) – For the list of Countries See page 4
Deed poll – for both adult and minors
The Deed Poll must be completed by the applicant.
You must have two separate witnesses – These
witnesses must sign and print their name.
Statutory declaration
A Statutory Declaration is a sworn document, which
declares in writing that the applicant is who the Deed
and the relevant Exhibits refer to.
There is a set format for which all applicants must
follow.
The Statutory Declaration for adults must be
completed by:
• A person who is not a near relative of yours or
your spouse or civil partner
• A Commonwealth or British Citizen
(as defined above)
• A person who has known you for no less than
10 years
• A house holder (this is required to prove the
person is a permanent resident within the United
Kingdom).
Page 3
The Statutory Declaration for minors must be
completed by the above described Declarant. However
they must:
• Declare how long they have known the person
with parental responsibility, which must be for no
less than 10 years, and also how long they have
known the Minor.
What happens if the applicant has
known no-one for 10 years?
If you have not known anyone for 10 years or more, an
additional Affidavit must be included, which explains
the reasons why. This will then be referred to the Senior
Master for permission to enrol the change of name.
The administration of the oath
This is where the Declarant (person declaring) swears
on a Holy Book or gives an Affirmation (where a
statement of fact is carried out). This must be carried
out before a Solicitor, Commissioner for Oaths or an
Officer of the Senior Courts.
What are exhibits and what must be
exhibited to the statutory declaration?
An Exhibit is a document produced in a Court of Law
and defined as a piece of evidence. The Court needs
Exhibits as proof of who you are. The Court requires
copies of documents that are exhibited to the Statutory
Declaration by way of Exhibit.
Exhibited to the Statutory Declaration must be:
• Exhibit A: A copy of the Deed Poll
• Exhibit B: Evidence of British Citizenship,
i.e. Birth Certificate or Passport or
Certificate of Naturalisation
• Exhibit C: Marriage Certificate (if applicable)
(Must state on the Statutory Declaration)
Exhibit sheets are required with the correct wording for
example:
“This is the Exhibit marked ‘A’ referred to in the
Declaration of
[enter statutory declarant’s name (the person who
has known you for 10 or more years)]
declared before me
[enter name of solicitor/commissoner/court officer]
this [day] day of [month] in the year [year] .”
The person administering the declaration on the exhibit
must be the same person who Administered the Oath
or Affirmation for the Statutory Declaration. This is in
accordance with the Commissioner for Oaths Act.
Notice for the London Gazette
The Notice for the London Gazette is mandatory
when enrolling a Deed through the High Court. The
Notice must be drafted by you. The London Gazette
is a Publication that evidences the Change of Name
through the High Court.
Affidavit of best interest
An Affidavit of Best Interest is required for all minor’s
applications. There is no set format for this document
however it is required that the person or persons with
parental responsibility complete this and it is sworn
before a Solicitor, Commissioner of Oaths or an Officer
of the Senior Courts.
The Affidavit of Best Interest should state the reason or
reasons why it is in the Minor’s best interest to change
their name.
All applications for change of name of a minor are
referred to the senior master for permission to enrol.
What happens when the court receives
your application for deed poll?
The Court checks all the documentation to ensure that
it follows the correct format. We will have to return it if
it is incorrect.
Once its is ready to process we seal the original Deed
Poll and allocate it a number, which will be displayed in
a round seal on the Deed. The Court forwards the draft
notice to the London Gazette, which is then published
at their earliest convenience. You will receive a copy of
the published notice.
The original Sealed Deed is returned to you as your
proof of change of name. You are free to notify any
other bodies and provide them with the evidence they
require.
Page 4
Contact Details
For Deed Poll enquiries:
Enforcement Section Manager
Room E15
Queen’s Bench Division
Action Department
The Royal Courts of Justice
STRAND
LONDON
WC2A 2LL
Phone: 020 7947 7772 (option 5)
Email: qbenforcement@justice.gov.uk
Email is for queries only – we cannot accept the Deed Poll via email
For Deed Polls in Scotland:
Change of Name Unit
General Register Office
New Register House
Edinburgh
SCOTLAND
Phone: 0131 535 1314
For The National Archives:
The National Archives
Kew
Richmond
Surrey
TW9 4DU
Phone: +44 (0)20 8876 3444
The London Gazette enquires:
PO Box 3584
Norwich
NR7 7WD
Phone: +44 (0)870 600 33 22
Commonwealth citizens
If you were born outside of the United Kingdom and in any of the following countries the relevant section will be
Section 37 (1)
The following Countries are those recognised as being incorporated in the Commonwealth.
Antigua and Barbuda Ghana Namibia South Africa
Australia Grenada Nauru Sri Lanka
The Bahamas Guyana New Zealand Swaziland
Bangladesh India Nigeria Tanzania
Barbados Jamaica Pakistan Tonga
Belize Kenya Papua New Guinea Trinidad & Tobago
Botswana Kiribati (Republic of) St Christopher & Nevis Tuvalu
Brunei Lesotho St Lucia Uganda
Canada Malawi St Vincent & The Grenadines Vanuatu
Cyprus Malaysia Seychelles Western Samoa
Dominica Maldives Sierra Leone Zambia
Fiji Malta Singapore Zimbabwe
The Gambia Mauritius Soloman Islands
There are other sections for the British Nationality Act 1981 however these are the most common.
Page 5
Deed Poll Checklist
Before returning your documents please make sure you have completed the correct forms and included the fee.
Adults
LOC020 Deed Poll Fully completed
LOC021 Statutory Declaration
Completed by the Declarant and sworn before either solicitor,
Commissioner of Oaths or a Senior Court officer.
Ensure all relevant documents are exhibited and attached
(Copy of citizenship, marriage certificate and letter of consent
from partner if applicable).
LOC025 Notice to the London Gazette Fully completed
The fee
Minor
LOC022 Minor Deed Poll Fully completed
LOC023 Affidavit of Best Interest Completed by parent(s) and sworn before either solicitor,
Commissioner of Oaths or a Senior Court officer.
LOC024 Statutory Declaration for a Minor Completed by the Declarant and sworn before either solicitor,
Commissioner of Oaths or a Senior Court officer.
LOC026 Notice to the London Gazette Fully completed
The fee
Deed poll
CHANGE OF NAME DEED intended for enrolling in the
Central Office of the Senior Courts of England and Wales
Date the deed is made
D D
/
M M
/
Y Y Y Y
Your new name in full
Your address
Your old name
Single Married/Civil Partnership
Widowed Divorced/Civil Partnership dissolved
Status
British Citizen British Dependent Territories Citizen
Commonwealth Citizen
Under section of the British Nationality Act 1981
WITNESSES AND IT IS
HEREBY DECLARED
I ABSOLUTELY
at all times from this date in all records documents and other writings and in all actions and
proceedings as well as in all dealings and transactions and on all occasions use my new name in
substitution for my old name. I
and my wife and my husband
and my civil partner and my children
and I alone
may after this be called known or distinguished not by the old name but by the new name.
I AUTHORISE
and require all persons at all times to designate and address me by my adopted new name.
and entirely renounce relinquish and abandon the use of my old name and assume adopt and
determine to take and use from the date of this Deed my new name in substitution for my old name.
I SHALL
LOC020
05.15
on behalf of myself
continued over the page
I have subscribed my adopted and substituted
forename(s) surname(s)
of
(NEW NAME)
and also my said old
forename(s) surname(s)
of
(OLD NAME)
the day and first year above written.
WITNESS
Name
Signature
Address
Occupation
In the presence of
Signed as a Deed and delivered
(NEW NAME SIGNATURE)
By the above named
(NEW NAME)
Formerly known as
(OLD NAME) (OLD NAME SIGNATURE)
“Notwithstanding the
decision of Mr Justice
Vaisey in Re: Parrott, Cox
v Parrott, the applicant
desires the enrolment to
proceed”
IN WITNESS
LOC020 (05.15)
WITNESS
Name
Signature
Address
Occupation
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signature
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Deed poll
STATUTORY DECLARATION FOR AN ADULT
Declarant’s name
Declarant’s home address
Occupation
I do solemnly and sincerely declare as follows:
I AM
I HAVE for years and upwards known
(APPLICANT’S NEW NAME)
formerly known as
(APPLICANT’S OLD NAME)
who has executed the Deed now produced and shown to me marked “A” and whom I identify as
the person referred to in the documents exhibited to this Declaration.
The certificate of
(NAME THE DOCUMENT SHOWN AS PROOF OF CITIZENSHIP)
now produced and shown to me and marked “B” is the Certificate of
(NAME THE DOCUMENT OF CITIZENSHIP)
LOC021
06.15
and a Home Owner residing at (DECLARANT’S HOME ADDRESS)
continued over the page
British Citizen British Dependent Territories Citizen
Commonwealth Citizen
Under section of the British Nationality Act 1981
This form must be completed by a person who has know the applicant (the person changing their name) for 10 years or more,
is not related to the applicant or their partner; is a Commonwealth or British citizen and is a home owner - See page 2 of
guidance notes.
Note: Please make sure
that you enter the name
of the same document in
both boxes
DECLARED by the above named
(DECLARANT’S NAME)
at
(ADDRESS WHERE DECLARATION TOOK PLACE)
Dated
D D
/
M M
/
Y Y Y Y
Before me
Solicitor Commissioner for Oaths Officer of the Senior Court
of the said
(APPLICANT’S NEW NAME)
formerly known as
(APPLICANT’S OLD NAME)
I declare from my personal knowledge of the said applicant’s and of their change of name and I
make this solemn Declaration conscientiously believing the same to be true and by virtue of the
provisions of the Statutory Declaration Act 1835.
LOC021 (06.15)
What to do next Once you (the declarate) has completed this form you must take it to a solicitor, commissioner for
oaths or an officer of the Senior Court for you to swear that the information given is true.
You will be charged a fee to do this.
Deed poll
Dated
Notice for the London Gazette on change of name for an adult
D D
/
M M
/
Y Y Y Y
D D
/
M M
/
Y Y Y Y
NOTICE is hereby given that a Deed Poll dated
and enrolled in the Senior Courts of England and Wales on (leave blank)
Applicant’s new name
Applicant’s address
Single Married/Civil Partnership
Widowed Divorced/Civil Partnership dissolved
Abandoned the name of
(APPLICANT’S OLD NAME)
and assumed the name of (APPLICANT’S NEW NAME)
D D
/
M M
/
Y Y Y Y
(If applicable, Solicitor’s details)
LOC025
02.12
British Citizen British Dependent Territories Citizen
Commonwealth Citizen
Under section of the British Nationality Act 1981
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HM Court LOC019 - Change of Name by Deed Poll

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Completed 11 September 2019

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