2018 Clerk of District Court District Court Rev. 12/17 1 12/17 Montana Secretary of State Certification and Notary Services PO Box 202801 Helena, MT 59620-2801 2018 CLERK OF DISTRICT COURT AUTHORIZED SIGNATURES If you have any questions, please contact us at: sosnotary@mt.gov (406) 444-1877 The Secretary of State's Office may be requested to authenticate documents issued from your office for foreign processing. This process requires verifying signatures of the individuals in your office who are authorized to sign or certify official records ("Authorized Signers") and verifying your office's official seal. A completed form from your office is needed for the Secretary of State's Office to fulfill requests to authenticate documents. Please make sure the signatures below are consistent with the signatures used on certified copies of official records. CHECK ONE: 2018 Yearly Identification of Authorized Signers * Check this box only when submitting the initial list of Authorized Signers for 2018. Change in 2018 Authorized Signers * Check this box when a change is being made to the initial list of Authorized Signers for 2018. DUE BY JANUARY 15, 2018. INSTRUCTIONS: 1. Legibly print or type the Title and Name of each Authorized Signer that is being added or deleted. 2. effective. *If submitting the 2018 Yearly Identification of Authorized Signersh name and enter January 1, 2018 in the Effective Date column. *If submitting a Change in 2018 Authorized Signers, only include information pertaining to Authorized Signers that are being added or deleted. 3. For each added Authorized Signer, have the signer provide his or her signature next to his or her name. 4. Affix the Judicial District Court seal and obtain the signature of the Clerk of District Court. 5. Provide the requested information at the bottom of this page. Add Delete Effective Date Title (print or type) Name (print or type) Signature Affix Seal of Judicial District Court below (embossed impressions must be inked) APPROVED BY: , Clerk of District Court County: Contact Phone Number: Contact Email Address: EMAIL the completed form to sosnotary@mt.gov or MAIL it to the address above. American LegalNet, Inc. www.FormsWorkFlow.com 2018 Clerk of District Court District Court Rev. 12/17 1 12/17 Add Delete Effective Date Title (print or type) Name (print or type) Signature American LegalNet, Inc. www.FormsWorkFlow.com