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Millie Ashton by liwenting

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									                                           Your full name
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                                                County
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                                      Date: 00th December 2006


Company
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Account No. / Policy No. / National Insurance No. / Ref No

I wish to advise you that following my change of name by Deed Poll and Statutory Declaration, my
name has changed from your full old name to your full new name. Please amend your records
accordingly.

Please find enclosed a copy of my Deed Poll and Statutory Declaration. If you require sight of the
original, or require further information, please let me know.




Yours faithfully,




Type your new name

								
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