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Chase Name Change 0202

The document requests that Maeve E. O'Meara provide documentation to change the name on her Chase credit card account, including an official document showing her new name and certification of her taxpayer identification number, in order to process the requested name change on the account. It provides instructions for Maeve to submit a copy of an official name change document, check a box to indicate if her taxpayer ID has changed, sign and date a certification, and return the materials to Chase.

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Mason Duke
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942 views2 pages

Chase Name Change 0202

The document requests that Maeve E. O'Meara provide documentation to change the name on her Chase credit card account, including an official document showing her new name and certification of her taxpayer identification number, in order to process the requested name change on the account. It provides instructions for Maeve to submit a copy of an official name change document, check a box to indicate if her taxpayer ID has changed, sign and date a certification, and return the materials to Chase.

Uploaded by

Mason Duke
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Questions?

Business Card Services Lwww.chase.com/ink


PO Box 15298 1-800-945 2028
Wilmington, DE 19850-5298
We accept operator relay calls

33621 NNNNNNNNNNNN CORO33


20163 RCS 001 001
Maeve E O'meara
1060 Church St
San Francisco CA 94114-3413 December 02, 2021

Please reply to change the name on your credit card account


Action Needed:

Your account ending in 0202

Dear Maeve E O'meara:

Thank you for asking us to change the name on your credit card account. Please send us an official
document showing your current name, along with the certification below.

Here are the steps to take

1. Make a copy of one of these official documents


Court order or other legal documentation of the name change
Driver's license or other government-issued ID
Social Security card

If the official document contains your address, it must match the address we have on file for you. If
your current address does not match the address shown on the document, you need to update your
address with us before you send us any documents.

2. Check the applicable box below, or we will not be able to process your name change request.

X There has been no change to my existing Taxpayer ldentification Number (i.e. SSN or ITIN)

There has also been a change to my existing Taxpayer ldentification Number (i.e. SSN or
ITIN)
If this box is checked, please include a copy of your Social Security card or ITIN card in
addition to your official name change document.

3 Please complete, sign and date the section below to certify your Taxpayer ldentification Number. A
Taxpayer ldentification Number (TIN) for individuals can be a Social Security number (SSN) from the
Social Security Administration, or an Individual Taxpayer ldentification Number (1TIN) from the IRS. The
IRS may charge you a penalty of $50 for failing to give us your correct name and TIN combination.

New Name (as shown on official document) Mae ve 'Meara Duke


Taxpayer ldentification Number # 4-61 -6S19
TAXPAYEA IDENTIFICATION NUMBER CERTIFICATION: certify under penalties of perjury that: (1) the Taxpayer
Identification Number shown above is my correct Taxpayer ldentification Number; (2) I am not subject to backup withholding
because: (a) I am exempt from backup withholding, or (b)I have not been notified by the Internal Revenue Service (IRS) that
Page 2
am subject to backup withholding as a result of a failure to report all interest or
am no longer subject to backup withholding; (3) I am a U.S. Citizen or other dividends, or (c) the IRS has notified me that
U.S. person (as defined in the
Form 1s
instructions); and (4) the FATCA code(s) entered on this form (if any) Indicating that I am exempt from FATCA reporling
correct.

the IRS has notified you that


you are subject to backup withholding because you falled to
on your tax return, cross out 2 above. report all interest and dividends

I am
a nonresident alien, and therefore
the penalties of perjury certificatlon on this
form does not apply to me.
are a nonresident alien, you must complete the
applicable
(1 you
version of Form W.8 to certity your foreign status and send
to us. You can find all versions of Form W-8 and
their instructions by vis/ting IRS.gov.) i

Signature Moyl 12-lo-2021


Date (mm-dd-yyyy)

Maeve O'Meau Dure 4216 3153 1os8 o202


Type or Print Your Name
Account Number
4 Send us your completed, signed and dated certification, and your name change document.
Mail: Chase Card Services
PO Box 15298
Wilmington, DE 19850-5298
Secure message: Sign into chase.com and attach
your completed certification and document.
We will update your account to match the name shown on
the name on this account, we will also your name change document. When we change
change it for your other Chase credit cards. Your card allows 26
characters for your name, so we'll abbreviate the name as
needed.
You can manage your account and ask us questions at chase.com.

Sincerely,
Card Services

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