FORM 70AA

File No. FD

NOTICE OF CHANGE OF NAME

(Heading as in Form 70A)

NOTICE OF CHANGE OF NAME

1.	Change name	from :

to :

2.	Reason for change:

[ ]	marriage to: and taking of that surname

[ ]	entered into a common-law relationship with and taking of that surname

[ ]	divorce and return to maiden name as it was prior to marriage

[ ]	legal change of name

[ ]	other:

3.	Address change: (if applicable)

4.	Date of notice:

I certify that the information contained in this notice is true and correct.

(signature)

FOR COURT USE ONLY

NAME OF PERSON REQUESTING:

FORM OF IDENTIFICATION WITH PHOTO:

PROOF DOCUMENT PROVIDED:

(specify)

(Note: No data will be updated without proper photo identification and the requestor must be a party to the action or counsel acting on his or her behalf.)

ACCEPTED BY DEPUTY REGISTRAR:

DATE REGISTRY UPDATED:

UPDATED BY:

(Note: No fee applied in the Family Division.)