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Notary Public Name And Or Address Change Form - Maryland
| Notary Public Name And Or Address Change Form Form. This is a Maryland form and can be used in Notary Public Secretary Of State . |
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NOTARY DIVISION OFFICE OF THE SECRETARY OF STATE, STATE HOUSE, ANNAPOLIS, MARYLAND 21401 (410) 974-5520 NOTARY PUBLIC NAME AND/OR ADDRESS CHANGE FORM IF YOU CHANGED YOUR NAME OR ADDRESS SINCE YOU WERE COMMISSIONED, PLEASE COMPLETE THIS FORM AND RETURN TO THE OFFICE OF THE SECRETARY OF STATE BY MAIL. NAME CHANGE -- IF YOU HAVE CHANGED YOUR NAME SINCE YOU WERE COMMISSIONED, PLEASE COMPLETE THE FOLLOWING INFORMATION. Legal Name as it appears on commission: _______________________________________ New Legal Name: __________________________________________________________ * PLEASE CHECK: Yes No Issue new commission with my new name: NOTE: If checked "Yes", please submit a $5.00 fee made payable to the Secretary of State, we will issue a commission reflecting your new name. You should also acquire a new seal reflecting your new name. The Clerk of the Court will collect an $11.00 fee when you are sworn in under your new name. Prior to receiving your new commission, you should sign your name as follows with any notarial act. [Current name], commissioned as [Name as it appears on your commission] For example: Mary Smith, commissioned as Mary Jones ADDRESS CHANGE -- IF YOUR ADDRESS HAS CHANGED SINCE YOU WERE COMMISSIONED, PLEASE COMPLETE THE FOLLOWING INFORMATION. (No fee required) Legal Name as it appears on commission: _____________________ Date of Birth _______ County in which you were commissioned: _____________________ Address at time of commission: _______________________________________________ City: __________________________ State: ______ Zip: __________ Former Home Phone: ________________ Former Business Phone: ___________________ New County of Residence: _____________________ New Home Address: ________________________________________________________ City: __________________________ New Home Phone: _______________ FOR NAME CHANGE ONLY YOU MUST RETURN YOUR OLD COMMISSION BEFORE A NEW COMMISSION IS ISSUED. PLEASE SUBMIT WITH THIS APPLICATION A $5.00 FEE MADE PAYABLE TO THE SECRETARY OF STATE. State: ______ Zip: __________ Business Phone: _________________ SIGNATURE: I SOLEMNLY AFFIRM under penalties of perjury and upon personal knowledge that the contents of the foregoing paper are true. _____________________ Date _________________________________________ Signature must be the same as name printed above American LegalNet, Inc. www.FormsWorkFlow.com Local Elections Offices Allegany County Anne Arundel County Baltimore City Baltimore County Calvert County Caroline County Carroll County Cecil County Charles County Dorchester County Frederick County Garrett County Harford County Howard County Kent County Montgomery County Prince George's County Queen Anne's County St. Mary's County Somerset County Talbot County Washington County Wicomico County Worcester County 301-777-5932 410-222-6600 410-396-5550 410-887-5700 410-535-2214 410-479-8145 410-386-2080 410-996-5311 301-934-8972 410-228-2560 301-600-8683 301-334-1962 410-638-3564 410-313-5820 301-778-0038 240-777-8500 301-952-3270 410-758-0832 301-475-4655 410-651-0767 410-770-8099 240-313-2050 410-632-5500 410-632-1320 American LegalNet, Inc. www.FormsWorkFlow.com
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