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Notary Public Request For Certificate Of Authorization To Obtain Official Seal 506 - Oregon
| Notary Public Request For Certificate Of Authorization To Obtain Official Seal Form. This is a Oregon form and can be used in Notary Secretary Of State . |
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Submit this form and fee STATE OF OREGON $5.00 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 FilingInOregon.com/notary This Space For Office Use Only NOTARY PUBLIC REQUEST FOR CERTIFICATE OF AUTHORIZATION TO OBTAIN OFFICIAL SEAL PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK. FILING THIS FORM WILL NOT EXTEND YOUR COMMISSION EXPIRATION DATE. IT WILL STILL EXPIRE ON THE ORIGINAL DATE. Notary Commission No: Commission Expiration: Notary Commission Name: 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: Message Phone Number: ( ) ( ) ( ) State of County of I, , swear affirm that the following statement is true and correct, to the best of my knowledge: my original Official Seal: my original Certificate of Authorization: my original Commission Certificate: is lost, misplaced is lost, misplaced is lost, misplaced is damaged, destroyed is damaged, destroyed is damaged, destroyed is in working order, but I is in good condition, but I need need a duplicate seal a duplicate On (date) , I request that the Secretary of State issue a new Certificate of Authorization to obtain an Official Seal and/or Commission. In the event I reacquire possession of my original lost or misplaced Official Seal Certificate of Authorization Commission Certificate, I will file that original with the Secretary of State within 10 days. X Subscribed and sworn affirmed before me Applicant must sign name exactly as commission is to be issued. By (Printed Name of Applicant) this day of (day) (month) (year) X Notary Public Oregon (Signature) 506 (Rev. 04/04)
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