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Notary Complaint Form. This is a Mississippi form and can be use in Notary Public Secretary Of State.
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Tags: Notary Complaint Form, NP-002, Mississippi Secretary Of State, Notary Public
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
Mississippi: Secretary of State
Calendar No.
Eric Clark, Secretary of State
:
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
Business Regulation and Enforcement Division
:
601-359-1615
:
:
NOTARY COMPLAINT FORM
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . information, . .
DIRECTIONS:.Please. furnish.specific. and.detailed . . . . . . . . . . . .answer all questions that are applicable to
your situation, and be clear and concise in your answers.
COMPLAINANT INFORMATION
THE PEOPLE OF THE STATE OF NEW YORK
Full Name ________________________________
TO
Date _______________________________
Address __________________________________
County _____________________________
GREETINGS:
City/State/Zip _____________________________
Work Phone _________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Home Phone _________________________
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
FACTS AND witness in this action on
or adjourned date, to testify and give evidence as aCIRCUMSTANCES the part of the
E- mail ___________________________________
1. Against whom are you filing this complaint (full name of individual, address, county, and telephone
number)?
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
_______________________________________________________________________________________
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
_______________________________________________________________________________________
result of your failure to comply.
_______________________________________________________________________________________
Witness, Honorable
, one of the Justices of the
2. When and where was the notarization performed?
Court in
County,
day of
, 20
_______________________________________________________________________________________
_______________________________________________________________________________________
3. Is the individual registered with the Secretary of State as a notary? Ifmust sign above and type name below) for
(Attorney yes, was the certificate shown
verification?
______________________________________________________________________________________
______________________________________________________________________________________
Attorney(s) for
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Office and P.O. Address
Mississippi Secretary of State’s Office
Business Regulation and Enforcement
Notary Services
Telephone No.:
Post Office Box 136
Jackson, MS 39205 Facsimile No.:
E-Mail Address:
www.sos.state.ms.usMobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
4. Specifically describe your complaint.
JUDICIAL SUBPOENA
Plaintiff(s)
_______________________________________________________________________________________
-against:
_______________________________________________________________________________________
_______________________________________________________________________________________
:
_______________________________________________________________________________________
:
5. Keeping in mind that the Division does not have any enforcement authority, how would you like your
complaint to be resolved? Please be specific.
Defendant(s)
:
......................................................
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
THE PEOPLE OF THE STATE OF NEW YORK
6. Describe any contacts you have had with the notary concerning your complaint. Please forward copies of
TO
any correspondence and other documents between you and the notary.
_______________________________________________________________________________________
_______________________________________________________________________________________
GREETINGS:
_______________________________________________________________________________________
WE COMMAND YOU, that all business and complaint? laid please furnish the name attend
7. Have you contacted any other agency regarding your excuses beingIf so,aside, you and each of you of the before
,
the Honorable
at the
Court
agency, when filed, and status if known.
located at
County of
_______________________________________________________________________________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
_______________________________________________________________________________________
or adjourned date, to testify and give evidence as a witness in this action on the part of the
8. Have you contacted a private attorney about this matter? If so, please include the attorney’s name, address,
and telephone number.
_______________________________________________________________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as
_______________________________________________________________________________________a
result of your failure to comply.
9. If you are aware of anyone else who has had a similar complaint, please provide names and addresses.
Witness, Honorable
, one of the Justices of the
_______________________________________________________________________________________
_______________________________________________________________________________________
Court in
County,
day of
, 20
10. If you have a copy of the notarized document, please attach it to this form and send it to us.
(Attorney must sign above and type name below)
____________________________________
Printed Name
____________________________________
Signature
Attorney(s) for
(______) ____________________________
Telephone Number with Area Code
____________________________________
Date
Office and P.O. Address
Mississippi Secretary of State’s Office
Business Regulation and Enforcement
Notary Services
Telephone No.:
Post Office Box 136
Jackson, MS 39205 Facsimile No.:
E-Mail Address:
www.sos.state.ms.usMobile Tel. No.:
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