Name Changes On Loan Accounts Change Request Form (Page 5 of 5) in pdf

Name Changes On Loan Accounts Change Request Form Page 5

Name Changes on Loan Accounts

Change Request Form

Customer Name: ______________________________________________________________

Loan Account Number: _________________________________________________________

Yr / Make / Model of Vehicle: _____________________________________________________

Daytime Phone Number: ______________________________________________________________

Please update the name on my loan account as follows:

Original Name: ________________________________________________________________

New Name:

________________________________________________________________

Please make this change due to the following reason (check one):

___ Marriage

___ Divorce

___ Legal Name Change

___ Legal Change of Company Name and Tax ID

___ Death of Borrower/Co-Borrower

I have included the following legal documentation (check one):

___ Marriage Certificate/License (with book and page #, license #, seal, notary or court stamp)

___ Divorce Decree (with book and page#, case or file #, seal, notary, or court stamp)

___ Court Order approving the name change (signed by clerk or Deputy Clerk)

___ Copy of legal document stating the new company name and Tax ID

___ Copy of Death Certificate

2010 Bank of America Corporation

Proprietary

Rev. 12/17/2010 O; Pg. 5 of 5

Name Changes On Loan Accounts Change Request Form Page 5