Missouri > Secretary Of State > Notary
Application For Notary Change Of Address In Same County Comm 57 - Missouri
| Application For Notary Change Of Address In Same County Form. This is a Missouri form and can be used in Notary Secretary Of State . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
State of Missouri D WE S T ITE D AN DIV Jason Kander, Secretary of State X ESTO LE ED WE FA ID E PLURIB M UNU SALUS PO MDC PUL I SUPREM CCXX Print or Type 1. Name (This name must appear as it is signed in #7) 2. Previous Address City 3. New Address City State Zip Code State Zip Code 4. County of Residence (St. Louis City Residents please specify City) 5. Daytime Phone Number 6. Commission Number 7. Signature and Email Address of Applicant (This signature must appear as it is typed or written in #1) LL US A Commissions PO Box 784, Jefferson City, MO 65102 Toll-Free (866) 223-6535 or (573) 751-2783 UN Application for Notary Change of Address In Same County (No fee) Date of Birth (MM/DD/YYYY) Form Comm. 57 (11/10) -- Page 1 American LegalNet, Inc. www.FormsWorkFlow.com Application for Notary Change of Address in Same County Instructions 1. Name - You should print or type your name as you want it to appear on your commission certificate. You are required by law to use your full last name, while initials may be used for first and middle names. Date of Birth - Please provide your birth date in numerals: month/day/year. This is to confirm that applicants are at least eighteen years of age. 2. Previous Address Provide your previous address. New Address Provide your new address. 4. County of Residence - Please indicate the county in which you legally reside and are registered to vote, even if you work in a different county. You are commissioned for the county in which you live, but you are able to notarize anywhere in the state of Missouri. *If you reside in St. Louis City, please put St. Louis City in the county blank. 5. Daytime Phone - You are requested to provide a phone number where we can reach you BETWEEN THE HOURS OF 8:00 a.m. and 5:00 p.m., should we need to verify information given on the application in order to prevent the delay of returning the form to you for verification. 6. Commission Number - Please provide your commission number if you were commissioned after August 28, 2004. 7. Signature - Complete the form by adding your signature in the same name style you indicated in # 1 on the application. Instructions Form Comm. 57 (11/10) American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
