Nonresident Notary Public Affidavit Of Applicant Form - State Of Nevada

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Nonresident Notary Public
Affidavit of Applicant
STATE OF NEVADA
STATE OF ___________________
COUNTY OF _________________
I, ___________________________________________________, being first duly sworn,
(Applicant)
state upon personal knowledge and under penalty of perjury as follows:
1.
My residence address is_______________________________________________
__________________________________________________________________
2.
I am employed by____________________________________________________
3.
My employment address is_____________________________________________
__________________________________________________________________
4.
My employment telephone number is____________________________________
DATED this ________day of______________,_______.
____________________________________
Applicant
Signed and sworn to before me
On______________________
By______________________
_________________________
Notary Public

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