Nonresident Notary Public Affidavit Of Applicant Form - State Of Nevada Page 2

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Nonresident Notary Public
Affidavit of Applicant’s Employer
STATE OF NEVADA
STATE OF ___________________
COUNTY OF _________________
I, ___________________________________________________, being first duly sworn,
(Name of Employer)
state upon personal knowledge and under penalty of perjury as follows:
1.
My business__________________________________________,
(Name of Business)
is licensed to do business in the State of Nevada.
2. The address of my place of business is_________________________________
__________________________________________________________________
.
3. My business phone number is________________________________________.
4. ________________________________________________ is an employee of
(Name of Employee/Applicant)
__________________________________________________________________
(Name of Business)
DATED this ________day of______________,_______.
____________________________________
Employer
Signed and sworn to before me
On______________________
By______________________
_________________________
Notary Public

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