State of Arizona Use Only Do not write or staple in this space State of Arizona - SECRETARY OF STATE’S OFFICE NOTARY PUBLIC RESIGNATION LETTER th 1700 W. Washington Street, 7 Fl., Phoenix, Arizona 85007 A notary commissioned by the Arizona Secretary of State’s Office may resign a commission at any time. A notary who chooses to resign must notify the governor in writing of the resignation under A.R.S. § 38-294(2). This form letter is available online at the Secretary of State’s website, www.azsos.gov/business_services/. INSTRUCTIONS: 1. Print or type your name. 2. Complete the name and address fields. 3. Include your bonding company’s name and address. 4. Sign the letter. 5. Date the letter. 6. Once completed, follow the mailing instructions below. THE HONORABLE JANICE K. BREWER Office of the Governor 1700 W. Washington Street, 9th Floor Phoenix, Arizona 85007 Dear Governor Brewer: Pursuant to A.R.S. § 38-294(2), I , hereby resign my commission as a Print or Type Name Notary Public with the State of Arizona. Additionally, according to A.R.S. § 41-317(A) I will destroy any journal whose most recent entry is older than five years and I will deliver my notary seal, commission certificate and current journal(s) to the Secretary of State’s Office by certified mail or other means providing a receipt. To expedite the processing of my resignation I am including the following information: Last Name First Name Middle Notary Commission or Social Security # Mailing Address City State Bonding Company Name Bonding Company Mailing Address Zip Code Sincerely, Sign Here Date cc: Arizona Secretary of State’s Office MAILING INSTRUCTIONS: Upon completion of this form letter make a copy to be sent to the Secretary of State’s Office. MAIL THE ORIGINAL LETTER TO: The Honorable Janice K. Brewer Office of the Governor th 1700 W. Washington Street, 9 Floor Phoenix, Arizona 85007 Send a copy of this BY CERTIFIED MAIL to: LETTER, The Honorable Ken Bennett and your Secretary of State COMMISSION CERTIFICATE 1700 W. Washington Street, 7th Floor JOURNAL(s) and Phoenix, Arizona 85007 NOTARY SEAL Questions about this form? Contact the Arizona Secretary of State’s Office at (602) 542-4758. SOSBSNotaryresignation Rev. 06/09 American LegalNet, Inc. www.FormsWorkFlow.com