Microsoft Word - Name change.doc
STATE BAR OF GEORGIAMEMBERSHIP104 MARIETTA STREETSUITE 100ATLANTA GA 30303 EMAIL TO: MEMBERSHIP@________________________________________________________Please be advised that the following attorney has changed their name. Bar NumberCurrent name on Bar Membership Records_____________________________________________________________________Please change the current name on Bar Membership Records to reflect the new name below (copy of legal document that changed name must be provided). (Sign and Date Below)New NameFirstMiddleLastIf you need to update your address, please indicate whether the below is information for your official address orhome address.____________________________________________________________________________p_________Address_____________________________________________________________CityStateZi Telephone NumberEmail______________________.Please make the above referenced change in my records. If you have any further questions regarding this matter please call me at____________________________(Sign name here)(Date)Questions: Email membership@ ................
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