Fillable Name Change Authorization (City of Oakland)

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Name Change Authorization (City of Oakland)

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File type: PDF

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Robinhood Financial, LLC.
85 Willow Road, Menlo Park, CA 94025
www.robinhood.com
Name Change Authorization
Use this form to notify Robinhood that your name has been changed due to marriage, divorce or other reasons. Please select a
reason for the name change below, and then follow the instructions for additional documentation requirements.
Please select reason for name change below, and then follow the instructions for supporting documentation below.
☐
Minor Correction Provide a copy of your updated state issued driver’s license or a passport.
☐
Marriage Provide a marriage certificate and a copy of your updated state issued driver’s license.
(Court stamp must be clearly visable)
☐
Divorce Provide a divorce decree and a copy of your updated state issued driver’s license.
(Divorce decree must state the name change)
☐
Legal Name Change Provide a certified court decree of name change and a copy of your updated state issued driver’s license.
☐
Other: ___________________________________________________________________________________________
If you have selected other Provide a copy of your updated state issued driver’s license and any other supporting documentation
Note: Additional documentation may be required for certain types of name changes
1. Account Holder Information
Account Holder Name (First, Last)
Account Number
Legal Street Address (No P.O. Boxes)
City
State
Email Address
Phone Number
Date of Birth
2. Name Change
New Legal Name (First, Last)
3. Customer Authorization
I hereby authorize Robinhood to change my name on the account listed above and by signing this authorization form I attest that all of the
information is true and accurate.
Account Holder Name (Print)
Signature
Date
20200130-1075068-3234567
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Name Change Authorization (City of Oakland)

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Completed 15 December 2021

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