MARITAL NAME CHANGE* - Service Alberta - Government of Alberta
MARITAL NAME CHANGE* - Service Alberta - Government of Alberta
MARITAL NAME CHANGE* - Service Alberta - Government of Alberta
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<strong>MARITAL</strong> <strong>NAME</strong> <strong>CHANGE*</strong>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 <strong>Alberta</strong> VitalStatistics or the original Certificate <strong>of</strong> Marriage issued by the person who performed the ceremony (theoriginal certificate will be returned).orIf reverting to an original surname, then a certified copy <strong>of</strong> 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 <strong>of</strong> <strong>of</strong>ficial documentation under notary seal can be accepted in lieu <strong>of</strong> 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 <strong>Alberta</strong> Registries).Registration FeesAffidavit for name change $15.00Extra title(s) affected$5.00 per titleCertified copy <strong>of</strong> title(s)$10.00 per titlePlease enclose a cheque or money order payable to the <strong>Government</strong> <strong>of</strong> <strong>Alberta</strong>. 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:<strong>Alberta</strong> <strong>Government</strong> <strong>Service</strong>s 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, <strong>of</strong>make oath and say that:a. I am the registered owner <strong>of</strong> the following land:(LINC number: )- OR -I am the owner <strong>of</strong> 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 <strong>of</strong> my spouse or adult interdependent partner (or former spouse or former adultinterdependent partner) but I now use the surnamewhich is:I have attached an <strong>of</strong>ficial record <strong>of</strong> 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 <strong>of</strong> ,(A Commissioner, Etc. (or as the case may be)) (Signature <strong>of</strong> Person Signing)(Print Name <strong>of</strong> Commissioner)(Expiry Date <strong>of</strong> Commission)This information is being collected for the purpose <strong>of</strong> land titles records in accordance with the Land Titles Act. Questions about the collection <strong>of</strong> this information canbe directed to the Freedom Of Information and Protection Of Privacy Co-ordinator for <strong>Alberta</strong> Registries, Research and Programme Support, Box 3140, Edmonton,<strong>Alberta</strong> T5J 2G7, (780) 427-2742.