MARITAL NAME CHANGE* - Service Alberta - Government of Alberta

MARITAL NAME CHANGE*NOTE: Documents submitted for registration must be accompanied by an electronic on-lineDocument Registration Request (DRR) form. To create a DRR, logon to SPIN 2, www.spin.gov.ab.ca,click the DRR button on the SPIN 2 Menu Bar then select Create DRR, see Create DRR Help files foradditional information.Before submitting documents to the Land Titles Office, please enclose the following:An Affidavit Regarding A Marital Name Change completed and signed by the individual changing his/hername. The affidavit must be sworn before a Commissioner for Oaths who must print his/her name andexpiry date or a Notary Public who must affix his/her seal.andIf the name change is to adopt a surname, then the original Marriage Certificate issued by Alberta VitalStatistics or the original Certificate of Marriage issued by the person who performed the ceremony (theoriginal certificate will be returned).orIf reverting to an original surname, then a certified copy of the decree absolute or divorce certificate toverify the married surname and an original birth certificate to verify an original surname (the originalcertificate will be returned).Notarized copies of official documentation under notary seal can be accepted in lieu of originals. The legaldescription(s) must be provided.NOTE: If attending the Land Titles Office and swearing the affidavit before a Land Titles Commissioner forOaths, you must produce proper identification (e.g., a valid driver's licence, passport or an identification cardissued by Alberta Registries).Registration FeesAffidavit for name change $15.00Extra title(s) affected$5.00 per titleCertified copy of title(s)$10.00 per titlePlease enclose a cheque or money order payable to the Government of Alberta. The completed affidavit,certificate(s) and appropriate fees can be mailed to either address:Land Titles OfficeLand Titles OfficeBox 7575 or Box 2380Calgary AB T2P 2R4Edmonton AB T5J 2T3If you have any further questions, please call or visit at:Alberta Government Services Bldg.John E. Brownlee Building2 nd Floor, 710-4 th Avenue SW 10365-97 th StreetCalgary AB T2P 0K3 or Edmonton AB T5J 3W7(403) 297-6511 (780) 427-2742* The above information is only a guideline and is not intended as an exhaustive listing.

Land TitlesFORM AAffidavit Regarding A Name ChangeI, ofmake oath and say that:a. I am the registered owner of the following land:(LINC number: )- OR -I am the owner of an interest pursuant to the following instruments or caveats:b. I was married on attosurname .- OR -I entered into an Adult Interdependent Relationship onand I have now adopted thenow adopted the surname .and havec. I had previously adopted the surnamewhich is the name of my spouse or adult interdependent partner (or former spouse or former adultinterdependent partner) but I now use the surnamewhich is:I have attached an official record of my birth, marriage, divorce, adult interdependent agreement (ifapplicable), affidavit by my adult interdependent partner confirming surname or any other evidence requiredby the Registrar to substantiate identity.SWORN before meatin thethis day of ,(A Commissioner, Etc. (or as the case may be)) (Signature of Person Signing)(Print Name of Commissioner)(Expiry Date of Commission)This information is being collected for the purpose of land titles records in accordance with the Land Titles Act. Questions about the collection of this information canbe directed to the Freedom Of Information and Protection Of Privacy Co-ordinator for Alberta Registries, Research and Programme Support, Box 3140, Edmonton,Alberta T5J 2G7, (780) 427-2742.