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Notary Public Complaint Form. This is a Oregon form and can be use in Notary Secretary Of State.
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Tags: Notary Public Complaint, 507, Oregon Secretary Of State, Notary
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
Submit this form
STATE OF OREGON :
Index No.
Corporation Division – Notary
255 Capitol Street NE, Suite :151 Calendar No.
Salem, OR 97310-1327
503-986-2593
:
JUDICIAL SUBPOENA
Plaintiff(s)
FAX 503-986-2300
FilingInOregon.com/notary
This Space For Office Use Only
-against:
No fee
NOTARY PUBLIC COMPLAINT
:
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK. READ INSTRUCTIONS BEFORE FILLING OUT FORM.
All complaints filed in the office of the Secretary of State relating to notaries public are public record. This office may
:
provide copies of your complaint and any other documentation provided us to the person against whom the complaint has
been made or to any other person requesting copies. If you have any questions or concerns about this process, please
Defendant(s)
:
contact .our .office.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .. ....
1. Complainant:
Address:
THE PEOPLEStreetTHE STATE OF NEW YORK
PO Box or OF Address
TO
City, State, Zip
Phone:
Business Number & Extension (include area code)
Home Number (include area code)
GREETINGS:
2. Complaint against:
Address and/or location at which notarization took place. Be as specific as possible: i.e., Bank, North Central, Branch, 1212 Bank Pl., Portland, Oregon.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
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
3. Document(s) notarized: to testify and give evidence as a witness in this action attached. Original is preferable.
or adjourned date, Document(s) upon which complaint is based must be on the part of the
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
4. Name, address & telephone number of witness(es) present:
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
5. Note: Complaints of alleged forgery should always be directed to local law enforcement agencies first.
I have
I have not filed this complaint with a law enforcement or consumer protection type name below)
(Attorney must sign above and agency.
Name and address of agency
Attorney(s) for
Agency Name
PO Box or Street Address
Office and P.O. Address
City, State, Zip
507 (Rev. 10/02)
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Notary Public Complaint, page 1
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
6. This Complaint
does
does not involve a civil action (lawsuit) filed or pending in any court.
:
Index No.
Name and address of court in which filed:
:
:
Plaintiff(s)
Name
-against-
Calendar No.
JUDICIAL SUBPOENA
:
PO Box or Street Address, City, State, Zip
:
Type of action:
Case No.:
:
7. Briefly state facts involved:
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
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
or adjourned date, to testify and give evidence as a witness in this action on the part of the
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
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
8. I certify under penalty of perjury that the foregoing is true and correct. Signed thisfor
Attorney(s)
,
(month)
, in the city of
(year)
day of
(day)
, State of
(State)
(City)
Office and P.O. Address
X
(Signature of Complainant)
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Mail to: Corporation Division, Notary Public Section, Public Service Building, 255 Capitol St. NE, Suite 151, Salem, OR 97310-1327
507 (Rev. 10/02)
Notary Public Complaint, page 2
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