STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division Notary Public Section 148 W. River Street Providence, Rhode Island 02904-2615 401-222-3040 NOTARY PUBLIC CHANGE OF ADDRESS FORM Instructions: Type or print the form legibly in ink. Return the signed original to the above address. Notary ID number: _________________________ Name of Notary Public: _____________________________________________________________________________ (name that appears on your current notary public certificate) New Address of Notary Public: _______________________________________________________________________ (Must include street address. PO box may be given as additional information only.) _________________________________________________________________________________________ (city/town) (zip code) Daytime telephone number: ___________________________ (area code & number) Date: _________________________ ____________________________________________ Signature of Notary Public NOTE Filing this form does not automatically register you as a voter in your city or town. When you move, you have a responsibility, as a Rhode Island Notary Public, to register at your local board of canvassers, located in your city or town hall. Form No. NF-2 Revised: 10/08 American LegalNet, Inc. www.FormsWorkflow.com