Free Application For Notary Public Change Of Name Template
Application for Notary Public Change of Name
I. Applicant Information
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Full Name: [Your Name]
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Previous Name: [Previous Name]
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New Name: [New Name]
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Date of Birth: [Date of Birth]
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Email Address: [Your Email]
II. Reason for Name Change
[Provide a detailed explanation for the name change]
III. Verification of Identity
Primary Identification Document:
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Type: [Type of Identification Document]
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Number: [Identification Number]
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Issuing Authority: [Issuing Authority]
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Expiry Date: [Expiry Date]
Secondary Identification Document (if applicable):
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Type: [Type of Identification Document]
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Number: [Identification Number]
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Issuing Authority: [Issuing Authority]
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Expiry Date: [Expiry Date]
IV. Acknowledgment of Application
I, [Your Name], hereby declare that the information provided above is true and accurate to the best of my knowledge.
V. Notary Public Details
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Current Notary Public Name: [Current Notary Public Name]
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Notary Commission Number: [Notary Commission Number]
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State of Commission: [State of Commission]
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Expiry Date of Commission: [Expiry Date of Commission]
VI. Signature
[Your Name] (Printed Name):
Date of Sign: (Date of Sign):
