Application For Amendment Of Notary Public Appointment/information - State Of Nevada
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1Application for Amendment of
Notary Public Appointment/Information State of Nevada
Name of Applicant:_______________________________________
Mailing Address:
______________________________________
______________________________________
Phone Number:
____________________________________________
Length of Residence in County:
__________________________________
Date of Expiration of Present Appointment:___________________________
Notary Number:
____________________________________________
Applicant’s Signature: (
Please sign this application exactly as you wish it to read on your
appointment.)
Signature
Prior Name: ________________________________________________________________
Prior County:________________________________________________________________
SUBMIT A COPY OF YOUR CURRENT NOTARY CERTIFICATE WITH THE FEE
OF $10.00 TO:
Secretary of State
101 North Carson Street, #3
Carson City, Nevada 89701
Phone (775) 684-5708
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