Notary Form For 1583 Processing
ADVERTISEMENT
1
2Notary Form for 1583 Processing
(Please Print)
Name of Applicant #1: ___________________________________________________________
Last Name,
First Name,
MI
Name of Applicant #2: ___________________________________________________________
Last Name,
First Name,
MI
State of: __________________
County of: ________________
On this ______ day of _______________, 20____, I attest that I have examined the identification presented by
the above named individual(s), and the documents presented appear to be genuine and relate to the above
named individual(s).
Documents which were presented:
Applicant #1
Applicant #2
ID #1: ___________________________________
ID #1: ___________________________________
ID No.: __________________________________
ID No.: __________________________________
Exp. Date: _______________________________
Exp. Date: _______________________________
ID #2: ___________________________________
ID #2: ___________________________________
ID No.: __________________________________
ID No.: __________________________________
Exp. Date: _______________________________
Exp. Date: _______________________________
Notary Signature: _____________________________________
Printed Name: _______________________________________
(Seal)
Date Commission Expires: ______________________________
Additional Instructions for Applicant(s): Please attach legible photocopies of the examined documents and
send to this address:
Attn: Mailbox Manager
Pony Mailing & Business Center
316 SE Pioneer Way
Oak Harbor, WA 98277
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form #01e01 - Blanket Certificate Foe Exemption Covering Purchases For Resale Or For Further Processing Under The Beauregard Patish School Board
Financial
Form Dstf - Eb - Blanket Certificate Of Exemption Coverig Purchases By Registered Dealers For Resale Or For Further Processing Under The Desoto Parish Sales And Use Tax Ordinances Louisiana - Sales And Use Tax Comission
Financial
Form 01e01 - Blanket Certificate Of Exemption Covering Purchases For Resale Or For Further Processing - Beauregard Parish Sheriff's Department
Financial
Form Lpsb-1 - Blanket Certificate Of Exemption Covering Purchases For Resale, Or For Further Processing - Livingston Parish School Board Sales And Use Tax Division
Financial
Related Categories
Parent category: Life