What is the Blackshear Change of Name form for?

It records a requested name change on an account. The form asks for the account name and address, the new name, requester information, a signature, and the request method.

Who completes this form?

The person requesting a name change on an account completes the form, prints their name, signs it, and indicates whether the request is in person, by telephone, or by mail.

Do I need a notary for the Change of Name form?

No. The requester signs and dates this form without a notary. The form says to staple it to the document that stated the change.

How do I submit the Change of Name form?

The form lists in-person, telephone, and mail request methods. It provides the City of Blackshear address and phone number for these requests.

Blackshear, GA · Pierce County

No notary required

Change of Name

Use this form to request a name change on an account with the City of Blackshear, providing the account name, address, new name, and requester information.

What this form is

The Change of Name form records a requested name change on an account. The requester fills in the date, current account name and address, new name, and their printed name and signature, then indicates whether the request is in person, by telephone, or by mail. The form also instructs the city to staple it to the document that stated the change.

Who needs it

A person requesting a name change on an account with the City of Blackshear needs to complete this form.

How to submit it

The form lists in person, by telephone, or by mail as request methods. It gives the City of Blackshear address as Post Office Box 268, 318 Taylor Street, Blackshear, Georgia 31516, and phone number (912) 449-7000.

About notarization

This change form is signed without a notary; the requester signs and dates it, then staples it to the document that stated the change.

How to submit this form

1
Download The Form
Download the Blackshear Change of Name PDF.
2
Complete The Form
Enter the date, account name and address, new name, requester name, and signature; indicate the request method.
3
Attach The Related Document
Staple the form to the document that stated the change, as instructed on the form.
4
Submit The Request
Use an in-person, telephone, or mail request method listed on the form.

Frequently asked questions

What is the Blackshear Change of Name form for?: It records a requested name change on an account. The form asks for the account name and address, the new name, requester information, a signature, and the request method.
Who completes this form?: The person requesting a name change on an account completes the form, prints their name, signs it, and indicates whether the request is in person, by telephone, or by mail.
Do I need a notary for the Change of Name form?: No. The requester signs and dates this form without a notary. The form says to staple it to the document that stated the change.
How do I submit the Change of Name form?: The form lists in-person, telephone, and mail request methods. It provides the City of Blackshear address and phone number for these requests.

Need something notarized?

This Change of Name doesn’t need a notary — but if you have another Blackshear form that does, a commissioned online notary can help.