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Notary Public Request To Change Record - South Dakota

Notary Public Request To Change Record Form. This is a South Dakota form and can be used in Notary Secretary Of State .
 Fillable pdf Last Modified 11/11/2009
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Notary Public Request to Change Record Please Type or Print Clearly in Ink No Filing Fee Mark all boxes that apply: I would like to use the new notary seal imprint below and will continue the use of my current notary seal. When I renew my commission, I am aware I will need to place an imprint of both notary seals on the application. I would like to discontinue the use of my current notary seal on file and use the imprint of the new notary seal below. I would like to change my name on my notary public commission and will use the imprint of the new notary seal below. I would like to change my mailing address on file to the address below. Name as it appears on your commission ________________________________________ Date commission issued _____________________________________________________ County ____________________ __________________________________________________________________________ Mailing Address City State Zip Complete the following for change of name: Date of name change _______________________________________________________ Changed by court order or marriage New name ________________________________________________________________ (as appears on new notary seal) I hereby state that the above information is true and correct. I understand that I will not be able to use the notary seal imprint until I am notified by the Secretary of State. Dated ___________________________ Place imprint of new seal here ____________________________________ (Signature) Return to: Secretary of State Notary Division 500 E. Capitol, Suite 204 Pierre, SD 57501-5077 (605) 773-3537 American LegalNet, Inc. www.FormsWorkFlow.com
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