MISSISSIPPI SECRETARY OF STATE POST OFFICE BOX 136 JACKSON, MISSISSIPPI 39205-0136 NOTICE OF NOTARY RESIGNATION OR DEATH This application must be typed or printed in ink. This form is designed to be completed and printed from your computer. You will not be able to save the form on your computer unless you have the appropriate software. Return completed Notice to the Secretary of State's Office. There is no fee for this filing. The undersigned Notary or representative, hereby, notifies the Secretary of State of the Notary's Resignation or Death: ______________________________________________, (Type or print name exactly as it appears on the Commission) _________________, (Commission expiration date) _______________ (Notary ID Number) ___ Date of Resignation: ___ Date of Death: or; This the ________ day of _______________, 20_______. _______________________________________________ Signature of Notary or Representative _______________________________________________ Printed name and title if signed in a representative capacity Contact Information if in a representative capacity: Telephone: __________________ Mailing address: ______________________________________ City: ______________ State: ______ Zip: __________ Street address: _______________________________________ City: ______________ State: ______ Zip: __________ American LegalNet, Inc. www.FormsWorkFlow.com SOS FORM NP 007 April, 2007 PAGE 1 of 1 Pages