Notarization/Certication –You don’t need your signature notarized if you sign in front of a WA vehicle licensing agent, who can certify your signature.
State of County of
Signed or attested before me on by
Name of person(s) signing this document
Notary/Agent/Subagent signature
Notary printed or stamped name
Title and
Dealerorcounty/ocenumberornotaryexpirationdate
X
(Seal or stamp)
Vehicle/Vessel Owner
Name Update Afdavit for Individual
Use this form to change your name on your vehicle/vessel record or to state your name as “one and the same”
astheownerofavehicleorvessel.Whencompleted,takeormailthisformtoanyvehiclelicensingoceto
process. NOTE: You may need to complete additional paperwork.
Vehicle/Vessel information
PRINT or TYPEVehicleplate/tab/decalorvesselregistrationnumber VehicleIdenticationNumber(VIN)orHullIdenticationNumber(HIN)
Model year Make Model
Current name on record
Current name on record (Last, First, Middle)
Correct a misspelled name
Correct name (Last, First, Middle)
Change your name
Change name to (Last, First, Middle)
Reason for change
One and the same person
The following names are one and the same person:
Name (Last, First, Middle)
Name (Last, First, Middle)
I declare under penalty of perjury under the law of Washington that the foregoing is true and correct and I am
not defrauding creditors by changing my name.
Washington driver license/ ID card number
Date and place (city or county) signed Signature
WAC 308-56A-315
TD-420-047 (R/2/18)WA
Print completed form and sign here.