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Request For Duplicate Notary Public Commission Or Change Of Name Of Notary Public - South Carolina

Request For Duplicate Notary Public Commission Or Change Of Name Of Notary Public Form. This is a South Carolina form and can be used in Notary Secretary Of State .
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STATE OF SOUTH CAROLINA OFFICE OF THE SECRETARY OF STATE THE HONORABLE MARK HAMMOND Notary Division 1205 Pendleton Street Columbia, SC 29201 (803) 734-2512 (803) 734-1116 Request for Duplicate Notary Public Commission or Change of Name of Notary Public The applicant is requesting the following: (Please check the appropriate box or boxes.) [ ] Duplicate Copy of Notary Public Commission (this includes pocket card) - $10.00 [ ] Notary Public Name Change - $10.00 COUNTY OF _______________________ To: Secretary of State of South Carolina Name on original application ___________________________________________________________ IF requesting a name change, enter new name here __________________________________________ Present Address______________________________________________________________________ City and Zip Code ___________________________ Last 4 Digits of Social Security # ___ ___ ___ ___ Date of Birth _________________________ EMAIL_________________________________________ (Voter Registration #) _____________________________ Date ___________________________________ _________________________________________________ Signature of Applicant Sworn to and subscribed before me this ___________day of ________________________20_____ ________________________________________________ Notary Public of South Carolina My Commission expires___________________ MAIL REQUEST FORM AND CORRECT FEE TO THE ABOVE ADDRESS American LegalNet, Inc. www.FormsWorkFlow.com
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