Notary Public E-mail Address Correction Form Use this form if you wish to remove or modify your e-mail address that is on file with the Georgia Superior Court Clerks’ Cooperative Authority. Please fill out this form, sign it and return it via mail, fax or e-mail (notary@gsccca.org) to the Georgia Superior Court Clerks’ Cooperative Authority. Name: (as it appears on your commission) E-mail Address: Commission Expiration Date: (required) County of Appointment: Please remove my e-mail address from the website search results. Please remove my e-mail from official business communications such as notifying me that my commission is set to expire. Please change my e-mail address to: ________________________________________________ I acknowledge that unless indicated above, my e-mail address will be used for official business purposes such as to notify me that my commission is set to expire. Signature: ______________________________________________________ Georgia Superior Court Clerks’ Cooperative Authority 1875 Century Boulevard Suite 100 Atlanta, GA 30345 Fax: 404-327-7887 E-mail: notary@gsccca.org American LegalNet, Inc. www.FormsWorkFlow.com