Phone: (503)986-2343 Fax: (503)986-2308 Request for Lists - Notary New Filings Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - http://www.FilingInOregon.com Print Form Reset Form CUSTOMER INFORMATION: CONTACT PERSON BUSINESS NAME AREA CODE & PHONE NUMBER MAILING ADDRESS TYPE OF BUSINESS BUSINESS WEBSITE ADDRESS DESCRIBE HOW THIS INFORMATION WILL BE USED BUSINESS EMAIL ADDRESS NOTARY - AVAILABLE IN TAB DELIMITED TEXT ONLY. INFORMATION INCLUDES: NOTARY NAME, ADDRESS, COMMISSION NUMBER, AND EXPIRATION DATE. $50.00 PER REQUEST - LIST OF ALL ACTIVE NOTARIES DATA REQUESTED FOR THE WEEK OF: MEDIA TYPE EMAIL DELIVERY EMAIL TO THE FOLLOWING ADDRESS: PICK-UP IN PERSON MAIL TO ABOVE ADDRESS PAYMENT - PREPAYMENT REQUIRED. MAKE CHECK PAYABLE TO "CORPORATION DIVISION", OR YOU MAY FAX THIS REQUEST WITH CREDIT CARD PAYMENT TO 503-986-2308. WE NOW ACCEPT VISA, MASTERCARD, AMERICAN EXPRESS AND DISCOVER CARDS. CREDIT CARD NUMBER: EXPIRATION DATE: PLEASE CHARGE MY CREDIT CARD. SIGNATURE: 510 REQUEST FOR LISTS - NOTARY NEW FILINGS (03/14) American LegalNet, Inc. www.FormsWorkFlow.com