Notary Public Change Of Address Page 2
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2Notary Public Change of Address Addendum
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FOR RECORDER OF DEEDS USE ONLY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
This acknowledgement is not required to be executed for filing this form with the Department of State. However, an
acknowledgment may be required prior to recording with the applicable Recorder of Deeds office, if that Recorder of
State of ________________________________
Deeds office accepts this notary public change of address form.
County of _______________________________
On this, the ________ day of ___________________, 20____, before me _____________________________, the undersigned officer, personally
appeared ____________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within
instrument, and acknowledged that ____________________________ executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
_____________________________________
_____________________________________
Title of Officer
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