The Name Change Affidavit is a sworn statement published by the Louisiana Real Estate Commission (LREC) in which the holder of a Louisiana Real Estate License certifies the name under which he or she will henceforth be officially known. It is for license holders whose license was issued in a different name. On this page you can fill out the name change affidavit online on FillingPDF and download or print the completed PDF. The affidavit must be sworn before a notary public, and the LREC publishes the original PDF on its forms page.
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What is Name Change Affidavit – Louisiana?
The Name Change Affidavit is a one-page sworn statement of the Louisiana Real Estate Commission (LREC) in which a real estate license holder declares the name on his or her license and the name by which he or she shall henceforth be officially known and identified.
The affiant states, under oath, that he or she holds the Louisiana Real Estate License bearing a stated license number, that the license was issued in a stated name, and that the affidavit is made to certify the new name. The document opens with the state and the parish or county where it is sworn, and it ends with a jurat: "Sworn to and subscribed before me" on a given day, month and year, followed by the affiant's signature and the notary public's block.
The LREC is the Louisiana state agency that licenses real estate professionals, and it distributes the affidavit through its forms database at lrec.gov/forms. The form carries no form number and no revision date. It is an affidavit only: it does not itself change the license, and it contains no application fields.
Who needs to file Name Change Affidavit – Louisiana?
The Name Change Affidavit is for a person who holds a Louisiana Real Estate License and whose license was issued in a name that is no longer the name by which he or she will be known. The person signing is the affiant, and the affidavit speaks in the first person ("he/she is the holder of the Louisiana Real Estate License, number ...").
The form is not written for anyone else. It has no block for a representative, agent or guardian to sign on the affiant's behalf, and it asks for a license number, so it does not apply to someone who does not hold a Louisiana Real Estate License. A notary public completes the final block; the notary is a witness to the oath and not a party who needs the form.
The form does not say which life events lead to a name change or which other documents the LREC may ask for alongside it. For questions about your situation, call the LREC at (225) 925-1923 or 1-800-821-4529, or write to [email protected].
When to file Name Change Affidavit – Louisiana
The affidavit is used when your Louisiana Real Estate License was issued in one name and you will henceforth be officially known by another. The form prints no due date, filing window or expiration, so no deadline is stated on the document itself.
Timing matters in one respect: the affidavit must be signed in front of a notary public, because it is sworn and subscribed before the notary on the date written in the jurat. Complete the other lines first, then sign with the notary present. For any LREC deadline connected with a license name change, or for how long the agency takes to act, contact the LREC at (225) 925-1923 or 1-800-821-4529.
How to fill out Name Change Affidavit – Louisiana
Enter the state and parish or county
At the top, write the State of and the Parish/County of where the affidavit will be sworn before the notary.
Enter your name as affiant
On the line after "personally came and appeared," write your full name as the person making the sworn statement.
Enter your license number
On the line after "Louisiana Real Estate License, number," write your license number.
Enter the name on your license
On the line after "issued to him/her in the name of," write the name exactly as it appears on the license as issued.
Enter your new name
On the line after "officially known and identified as," write the name you will henceforth use.
Leave the jurat for the notary
The day, month and year in "Sworn to and subscribed before me this day of" are completed when you sign before the notary public.
Sign before the notary public
Sign on the line marked Signature of Affiant in the presence of the notary, who completes the NOTARY PUBLIC block.
Review and download the PDF
Check that every name and the license number match your records, then download or print the completed PDF from FillingPDF and take it to the notary. Deliver the signed original as described under How to submit.
How to submit Name Change Affidavit – Louisiana
The form itself names no delivery channel. It prints the LREC's contact details: 9071 Interline Ave, Baton Rouge, LA 70809; phone (225) 925-1923 or 1-800-821-4529; fax (225) 925-4501; www.lrec.gov; [email protected].
The LREC forms page states that applications must be submitted by mail or in person (drop-off) at the LREC office and that the LREC does not accept applications through electronic means. The page speaks of applications, so confirm with the LREC whether an affidavit sent alone, by fax or by email is accepted before you rely on one of those channels.
- By mail or in person: deliver the original, signed and notarized affidavit to 9071 Interline Ave, Baton Rouge, LA 70809.
- Questions: call (225) 925-1923 or 1-800-821-4529, or email [email protected].
The LREC forms page also warns that fill-in forms cannot be saved with Adobe Acrobat Reader alone: print the document before exiting, or use "save as" to keep a copy. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Signing the affidavit before meeting the notary public; the form is sworn and subscribed before the notary, so the signature belongs in the notary's presence.
- Leaving the Louisiana Real Estate License number blank; the affiant states he or she holds the license with that number.
- Writing the new name on the line for the name the license was issued in, or the old name on the line for the name you will henceforth be known by.
- Leaving the "State of" or "Parish/County of" line empty, so the notarization does not show where the oath was taken.
- Leaving the day, month or year of the jurat blank, or filling it in without the notary.
- Sending the affidavit by email or other electronic means on the assumption it is accepted; the LREC forms page says applications are not accepted that way.
- Submitting the affidavit without the affiant's signature or without the notary public's block completed.
Frequently asked questions
What is a name change affidavit for a Louisiana real estate license?
It is a sworn statement from the Louisiana Real Estate Commission (LREC) in which a license holder certifies the name on the license as issued and the name by which he or she will henceforth be officially known and identified.
Does the name change affidavit have to be notarized?
Yes. The form is a sworn statement that ends with "Sworn to and subscribed before me" and a NOTARY PUBLIC block. Sign it in front of the notary, who completes the date and the notary section.
Can I fill out the name change affidavit online?
You can fill out the PDF online on FillingPDF and download or print it. Then you must sign it before a notary public. FillingPDF is independent, is not connected to the LREC and does not file the affidavit.
Where do I send the Louisiana name change affidavit?
The form prints the LREC address, 9071 Interline Ave, Baton Rouge, LA 70809. The LREC forms page says applications go by mail or in-person drop-off and not electronically, so confirm at (225) 925-1923 how an affidavit alone should be delivered.
Is there a deadline for filing the name change affidavit?
No deadline is printed on the form. Contact the LREC at (225) 925-1923 or 1-800-821-4529 to ask whether a time limit applies to your license name change.
What information do I need to complete the affidavit?
You need your full name, your Louisiana Real Estate License number, the name the license was issued in, the name you will use henceforth, and the state and parish or county where you will be sworn before the notary.
Does the form have a form number or revision date?
No. The Name Change Affidavit is printed with the LREC letterhead and contact details only, without a form number or revision date. It is listed in the LREC Forms Database at lrec.gov/forms.
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