Notary Public Request To Change Record | Pdf Fpdf Doc Docx | South Dakota

Notary Public Request To Change Record

Notary Public Request To Change Record | Pdf Fpdf Doc Docx | South Dakota

Notary Public Request To Change Record Form

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This is a South Dakota form that can be used for Notary within Secretary Of State.

Last updated: 8/4/2016
Notary Public Request to Change Record Please Type or Print Clearly in Ink No Filing Fee Return to: Secretary of State, 500 East Capitol Ave, Pierre, SD 57501 Name as it appears on your commission Date commission issued _____________________________________________________________________ County ____________________________________ Date of Birth ________________________________ Make Imprint of New Seal Here Mark all boxes that apply: Change Seal: I would like to use the new notary seal imprint shown 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 shown. Change Name: I would like to change my name on my notary public commission and will use the imprint of the new notary seal above. Complete the following: Date of name change Changed by New name (as it appears on new notary seal) Court Order Marriage Change Address: I would like to change my physical address on file to the address below. ____________________________________________________________________________________ Physical Address City State Zip County I would like to change my mailing address on file to the address below. ____________________________________________________________________________________ Mailing Address City State Zip County I hereby state that the above information is true and correct. I understand that I will not be able to use a new notary seal imprint until I am notified by the Secretary of State. Dated ________________________________ _______________________________________________ (Signature) American LegalNet, Inc. www.FormsWorkFlow.com