Name Change Authorization Use this form to notify Robinhood that your name has been changed due to marriage, divorce or other reasons. Please select a reason for the name change below, and then follow the instructions for additional documentation requirements. Please select reason for name change below, and then follow the instructions for supporting documentation below. ☐ Minor Correction ☐ Marriage Provide a marriage certificate and a copy of your updated state issued driver’s license. (Court stamp must be clearly visable) Divorce Provide a divorce decree and a copy of your updated state issued driver’s license. (Divorce decree must state the name change) Legal Name Change Provide a certified court decree of name change and a copy of your updated state issued driver’s license. ☐ ☐ Provide a copy of your updated state issued driver’s license or a passport. i used just my first name and last name as in usa but in dominican republic we use both names and second names as in my Other: ___________________________________________________________________________________________ If you have selected other Provide a copy of your updated state issued driver’s license and any other supporting documentation Note: Additional documentation may be required for certain types of name changes ✔ ☐ 1. Account Holder Information Angel Torres 878653419 Account Holder Name (First, Last) 179 sherman st Account Number NJ perth amboy Legal Street Address (No P.O. Boxes) angellevavini@gmail.com City Email Address 08861 9738164169 State Zip Code 12/27/2001 Phone Number Date of Birth 2. Name Change ANGEL MARTIN TORRES ALMONTE New Legal Name (First, Last) 3. Customer Authorization I hereby authorize Robinhood to change my name on the account listed above and by signing this authorization form I attest that all of the information is true and accurate. Angel Torres Account Holder Name (Print) Signature Date Robinhood Financial, LLC. 85 Willow Road, Menlo Park, CA 94025 www.robinhood.com 20200130-1075068-3234567