Sos Form Np 005 - Application For Notary Public Change Of Name

Download a blank fillable Sos Form Np 005 - Application For Notary Public Change Of Name in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Sos Form Np 005 - Application For Notary Public Change Of Name with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

MISSISSIPPI SECRETARY OF STATE
POST OFFICE BOX 136
JACKSON, MISSISSIPPI 39205-0136
APPLICATION FOR NOTARY PUBLIC CHANGE OF NAME
This application must be typed or printed in ink. This form is designed to be completed and printed from your computer.
You will not be able to save the form on your computer unless you have the appropriate software. Return completed
Application, together with the $20.00 fee to the Secretary of State’s Office.
The undersigned Notary, hereby, notifies the Secretary of State of the following change name:
_____________________________________________,
___________________,
_____________
(Type or print name exactly as it appears on your Commission)
(Commission expiration date)
(Notary ID Number)
Please insert new name:___________________________________________________________
(Type or print name exactly as you want it to appears on your replacement commission)
The name change is as result of the following:
Check one:
Marriage
Divorce
Court Order
Other
Copies of appropriate documentation should be attached. If you are also changing your address you may include any
changes below:
Street Address: __________________________________________ City: _____________, Mississippi Zip: __________
Telephone Number: ___________________________
County of Residence:
Optional mailing address: _________________________________ City: _____________, Mississippi Zip: ___________
Please include a business/employer address and telephone number as you would like it to appear in the Notary Directory. If
you do not include this information, you will be listed in the Notary Directory at your mailing or residential address.
Business Name: __________________________ Job Title: ___________________ Telephone: ____________________
Mailing address: ______________________________________ City: ______________ State: ______ Zip: ___________
Street address: _______________________________________ City: ______________ State: ______ Zip: ___________
This the _______ day of _______________, 20_____.
__________________________________________
Signature of Notary
SOS FORM NP 005 April, 2007
PAGE 1 of 1 Pages

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go