Uploaded by tomaslinares5985

Legal Name Change STAMPED Fillable robinhood

advertisement
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
Download