Bill 10 (Legislature 3, Session 4)

L3 S4 9829

Alberta — Bills

BILL No. 10 of 1916.

An Act for the Registration of a Change of N amei. (Assented to , 1916.) HIS MAJESTY, by and with the advice and consent of the Legislative Assembly of the Province olr Alberta, enacts as follows:

SHORT TITLE. 1. This Act may be cited as "The Change of Name Act." PROCEDURE. 2. When a person desires to change a name or assume a name in addition to or in substitution for an original Christian or surname, or for and on behalf of a wife or child, the Provincial Secretary, upon being satisfied that the change is not otherwise objectionable, and upon there being filed with him the following, namely: (

a) A declaration in duplicate of the intention to change such name, duly executed and attested, in the form set out in the

schedule hereto, or to the like effect; (

b) A copy of The Alberta Gazette containing the notice of intention to change such name set out in the

schedule hereto or to the like effect; (

c) A copy of a newspaper having It circulation in the district where such person resides eontaining a copy of the notice put in The Albe1·ta Gazette of such intention to change such name; (

d) A certified copy of the naturalization certificate where such person is not a British subject by birth; and upon payment of the fees set out in the

schedule hereto, shall register such documents and issue the dupli cate declaration to the person filing the original. CERTIFICATE. 3. Upon the registration of the declaratiop hereinbefore mentioned the Provincial Secretary shall certify under his hand and seal of office that the same has been registered and such certificate shall be published in The Alberta Gazette and thereby the intention to make a change of name shall be conclusively established. PENALTIES. 4.

Any person not having made and registered the declaration hereinbefore mentioned, as provideid in this Act, who changes or assumes a name in addition to or substitution for original Christian or surname with the intention thereafter always to be called or known by such name shall be guilty of an offence and on

summary Iwn viction forthwith shall be liable to a penalty of $5.00 for

2 every day durijIlg which such name shall be 8.ssumed or used and in default of payment forthwith after conviction to imprisonment for a term not exceeding ten days: Provided always that any change of name m.ade before the passing of this Act shall not be deemed to constitute an offence under this section, but such chang:e may be registered under this Act and neither this

section nor any part of this Act shall apply to a change of name by operation of law or upon marriage. SCHEDULE. DECLARATION DECLARING CHANGE OF NAME. Know all men by these presents that I the undersigned .............................. , .of ............ . (Christian name and Burname as allered) in the Province of Alberta, and now or lately called .........

" ..... . ........... , being a British subject (Chri3tian name. and aumame a8 preIJ10u8ly.) by birth or naturalization, for and on behalf of myself, my wife and each and every of my children, namely .. . ...................... do hereby wholly, absolutely (Here ai •• names 01 each child.) and utterly renounce, relinquish and abandon the use of my said name of.. ..... ................

" and do (Old name.) assume and adopt in lieu thereof and determine to take and use from the day of the date hereof the name of (New name.) And for the purpose of evidencing such change of name I do hereby declare that I shall at all times hereafter in all records, deeds, documents and other writinl~s and in all actions, suits and proceedings as well as in aU dealings and transactions, matters and things whatsoever and upon all occasions use and subscribe the said name of .. ..... ...... . ... as my name in lieu of and in (New name.) substitution for (or in addition to) the said name of . ............ ...... . ... , so relinquished as aforesaid, (Old name.) and so that I and my heirs and issue lawfully begotten may not hereafter be called, known or distinguished by the said surname of. . .. ....... ., but by the (Old .. ,mame onll/,) surname of. . . . . . . . . . . .. . ......... only. (New ., .. name onll/.) And I therefore hereby expressly authorize and require all persons whomsoever at all times to designate, describe and address me and my heirs and issue lawfully begotten by such adopted name of.... ............... . ..... . (New.urnam. onll/.) accordingly.

In witness whereof I have hereto subscribed my adopted new name of.................... . ........ this ..... , .. (Now name in lull, ai.ing ChTietian and 8Umame.) day of ............ , 19 .... .

3 [SEAL] Signed, Sealed and DeliVered) by the above named (Christian names and surname in full) .. in the presence of Signature as adopted. DECLARATION AS '1'0 EXECUTION. I, ...... ......... ., of. ................ , (Dec/arant.) in the Province of Alberta, do solemnly and sincerely declare: 1.

That I was present with. . . . . . . . . . . .. ...... . ... . (Other witneR'.) of. . ............. in the Province of Alberta, on the . . . . .. .. .. . day of ...................... and did see .. . .................. , lately called or known by the (New name in lull.) name of......................... . ... and residing at (Old name in lull.) . . . . . . . . . . . . . .. . ... in the Province of Alberta, sign, seal and as his act and deed in due form of law deliver the deed within mentioned or hereunto annexed, bearing date the (said). .. .. .. day of .................. . 2.

That the name.. . .............. set and subscribed (New name aa .ifl1led.) to the said deed as the name of the person executing the same, is of the proper handwriting of the said .. ...... '" .... '" . .. .... . and that the names (Neu, name.) ... set or subscribed (Name. o/witneB.e. as .if/ned.) thereto as the persons attesting the due execution thereof are of the respective proper handwriting of the said. . . . . .. ............. .. . ... and of me the said (Other wiln •••. ) (Declara.nt.) That the said................ . ........ is a British (Old name.) subject, by birth or naturalization.

And I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue of The Canada Evidence Act. Declared before me at. . ...... } Alberta, this. ...... . day of . .. . ... . .......... , A.D. 19. A Commissioner, Justice of the Peace or Notary Public in and for the Province of Alberta. NOTICE OF CHANGE OF NAME.

I, .......................... , heretofore called and (N.w 114m. in Ittll.) known by the name of...... .............. . ....... . (Old name in lull.) (late of.... .... . ..... but now) of............. . ... , in the Province of Alberta, do hereby give public notice

4 that on the... . .. . .... day of... ......... . ........ , I did, for and on behalf of myself and my heir~ and issue lawfully begotten, formally, wholly, absolutely and utterly renounce, relinquish, and abandon ,the use of my said name of. . . . . . . . . . . . . . . . . .. . ..... and then assumed and (Old name.) adopted and determined thenceforth in all records, ~eeds, documents and writings, in all actions, suits and pro ceedings, in all dealings, transactions matters and things, and upon all occasions whatsoever to use and subscribe the name of. . . . . .. ...... ., . instead of the said (New name.) name ........................... ' (Old name.) And I give further notice that, by a declaration, bearing date of the said. . . . . .. . ..... day of ......... , ....... , duly executed and attested, I formally, wholly, absolutely, and utterly renounced, relinquished and abandoned the said name of .......................... and declared that (Old name.) I had assumed, adopted, determined, and intended thence forth, upon all occasions whatsoever, to use and subscribe myself by the name of. . .................... instead of (New name.) ........................ ; and so as to be at all time (Old name.) • thereafter called, known, described and distinguished by the name of. . . . .. ............... . .. exclusively. (New name.) (New Signature.) formerly (Old signature.) CERTIFICATE OF REGISTRATION OF CHANGE OF NAME. ,CANADA } PROVINCE OF ALBERTA.

No.. . .. . .. I hereby certify that in lieu of the name of ............. . (Old name.) is this day registered under the Act respecting the Regis tration oj a Change oj Name, the name of.. .... ., .... Given under my hand and seal at Edmonton this ............ day of .................. A.D. 19 ... . (SEAL) Prolrincial Secretary. TARIFF OF FEES.

Tariff of fees to be paid to the Provincial Secretury by a person registering change of name under this Act: For registration of the declaration of change of name including the declaration as to execution and copy of The Alberta Gazette, copy of newspaper and copy of naturalization certificate ........... $25.00 For each child of the person whose name is changE~d in pursuance of this Act, an additional fee of. . . . 5.00 For each search... ............ ................ .25 For publishing the certificate of registration in The Alberta GazeUe .. ..... , .. .................... 5.00 For any other filing............................ 1.00

No. ]() FOUltTH SESSION 6 GEORGl£ V 1 !) 1 6 BTT,JL l\n l\r,t for t.he negigt.ratioll of n Cl~anl',e' of Narne. Heed \'cd and read the Fin;t, time .... f:cp,ond. time ...... . Tl'ird time.. . EDMONTON: J. W. JEFFERY, GOVERNMENT PRINTER. A.D. 1916 Title: 1916 (3rd, 4th) Bill 10,

An Act for the Registration of a Change of Name

Document details

Collection	Alberta — Bills
Citation	L3 S4 9829
Type	bill
Volume / chapter	L3 S4 9829
Language	en
Format	json
Source	PROVINCIAL
Identifier	51567cc4ec0dcbb999fb89be13ee22e0db3d3fb2

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