Notary Public Duplicate Copy Of Certificate Of Appointment Request Form
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Notary Public Duplicate Copy Of Certificate Of Appointment Request Form. This is a Connecticut form and can be use in Notary Secretary Of State.
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Secretary of the State--Notary Public Unit
30 Trinity Street
Hartford CT 06 106
(860)509-6137
Notary Public
Duplicate Copy of Certificate of Appointment Request Form
Instructions: Send this signed original request form to the above address along with a the
required nonrefundable statutory fee of $5.00. Please make check payable to “Secretary of
the State.” Do not send cash.
Do you need a copy of the Notary Public Manual, revised Oct. 1995? Cl Yes Cl No
Daytime telephone number:
Date:
(area code & number)
(name that appears on your current notary public certificate)
request a duplicate copy of my notary public certificate of appointment.
Notary account number:
Date your commission expires:
You must provide your address of record:
Is this a new address? 0 No 0 Yes If yes, then you need to complete a change of address form
instead of this request.
Signature of notary
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