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Notary Public Change Of Status NC - Kansas
| Notary Public Change Of Status Form. This is a Kansas form and can be used in Notary Public Secretary Of State . |
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Notary Public Change of Status KANSAS SECRETARY OF STATE NC Contact Information Kansas Secretary of State Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 (785) 296-2239 notary@sos.ks.gov www.sos.ks.gov Instructions: Complete questions 1-2 and the applicable section(s) below. Sign and submit to the Secretary of State's office. Contact the notary clerk if you have any questions. 1. Name: _________________________________________________ Print name under which your appointment is currently listed. 2. Bond Number: __________________________________ Number listed in the upper right-hand corner of appointment certificate. CHANGE OF NAME New name: (print or type) _______________________________________________________________ New signature: ______________________________________________________________________ CHANGE OF SEAL Give an impression of your new seal in this space: CHANGE OF ADDRESS Residential address: _________________________________________ _____________________ ______ __________ Street address City State Zip Business address: _________________________________________ _____________________ ______ __________ Street address City State Zip Daytime telephone number: (______) ________________ Secondary telephone number: (______) ________________ I declare under penalty of perjury pursuant to the laws of the state of Kansas that the foregoing is true and correct. Date: __________________________ Month, Day, Year _______________________________________ Signature Rev. 3/23/10 jdr _______________________________________ Printed name of signer American LegalNet, Inc. www.FormsWorkFlow.com
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