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Statement Of Complaint Against Notary Public - Iowa
| Statement Of Complaint Against Notary Public Form. This is a Iowa form and can be used in Notaries Secretary Of State . |
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MATT SCHULTZ Secretary of State State of Iowa Statement of Complaint Against a Notary Public In order for the Secretary of State to initiate an investigation into possible misconduct of a notary public, the complainant must complete and sign this form. Complaints should be typed or printed clearly in black or blue ink. Complainant Information Name: Address: Complaint Information Name of Notary: Notary's Address (if known): Notary's Phone Number (if known): Notary's Employer (if known): Date of incident: Location of incident: Phone Number: Please state the facts briefly and clearly, and be sure to submit any supporting documents available with regard to the complaint. List services provided by the notary and any fees paid for those services. Provide the names and contact information for any witnesses to the alleged event. Attach copies of any receipts and documents that were notarized during the transaction, if possible. If you have suffered any losses or damages as a result of the alleged misconduct of the notary, please set forth the type and extent of the loss or damage. If more space is needed, attach additional pages. Number of additional pages attached: Complainant's Signature: Must be signed in the presence of a notary State of: County of: (SEAL) Signed and sworn (or affirmed) before me on (date): By: Print name of complainant Notary Signature: American LegalNet, Inc. www.FormsWorkFlow.com
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