Notary Public Change Form
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Notary Public Change Form. This is a Colorado form and can be use in Notary Public Secretary Of State.
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Tags: Notary Public Change Form, Colorado Secretary Of State, Notary Public
MAIL TO:
(Include required ID for name change)
COLORADO SECRETARY OF STATE
Notary Program
1700 Broadway, Suite 200
Denver, CO 80290
www.sos.state.co.us
303-894-2200
Office Use Only
NOTARY PUBLIC CHANGE FORM
Today’s Date:
Your Commission Expiration Date:
Type or print legibly your name as it appears on your current notary certificate:
Signature:
INDICATE APPROPRIATE CHANGE(S) BELOW:
NAME CHANGE
Printed name and signature must be exactly the same.
You must provide a copy of an acceptable form of ID in your new name.
Type or print legibly new name:
New Signature:
HOME ADDRESS CHANGE
-OR-
WORK ADDRESS CHANGE
If using a Post Office Box as a mailing address, you must also include the physical street address.
Prior address: Street address:
P.O. Box, if any
City:
New address:
Zip:
Street address:
City:
Phone:
P.O. Box, if any
Zip:
Phone:
E-MAIL ADDRESS CHANGE
Prior address:
New address:
REPORT LOST JOURNAL OR OFFICIAL SEAL
Date of loss:
Item(s) lost:
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