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Retirement Status Affidavit - Louisiana

Retirement Status Affidavit Form. This is a Louisiana form and can be used in Notary Division Secretary Of State .
 Fillable pdf Last Modified 7/12/2006
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RETIREMENT STATUS AFFIDAVIT STATE OF LOUISIANA PARISH OF BEFORE ME, the undersigned personally came and appeared, (Name of Affiant) who, after being sworn, did depose and said that he/she reached the age of seventy (70) years on , that he/she wishes to retire his/her notary commission, and certifies that he/she will no longer exercise the duties and functions of a notary. Signature of Affiant Sworn to and subscribed, before me this day of , . Signature of Notary Public Printed Name and ID# of Notary Public American LegalNet, Inc. www.USCourtForms.com
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