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Notary Public Name Change 503 - Oregon

Notary Public Name Change Form. This is a Oregon form and can be used in Notary Secretary Of State .
 Fillable pdf Last Modified 10/14/2008
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Submit this form and fee STATE OF OREGON See fees listed below Corporation Division Notary This Space For Office Use Only 255 Capitol Street NE, Suite 151 Salem, OR 97310-1327 503-986-2593 FAX 503-986-2300 This Space For Office Use Only FilingInOregon.com/notary NOTARY PUBLIC NAME CHANGE PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK. FILING THIS NAME CHANGE DOES NOT CHANGE YOUR COMMISSION EXPIRATION DATE Choose one: Please reissue my Commission in my new name, $5.00 fee required. I wish to continue using the name under which I was originally commissioned. This is an official name change notification only. No fee required. Notary Commission No: Commission Expiration: Notary Commission Name: New legal name: Commission name to be changed to: Reason for change: Current Address where notary materials should be mailed Current Business Name & Address: Current Resident Street Address (If different from mailing address above): Daytime Phone Number & Extension: Home Phone Number: ( ) ( ) Notary Signature (as it should appear on Commission) Effective date of change If you have requested that your commission name be changed, you will be issued an updated Commission and a Certificate of Authorization to obtain an Official Seal under that new name. The completed certificate must be returned to the Secretary of State within 10 days after receipt of your new official seal from the vendor. 503 (Rev. 9/03)
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