Free Notary Public Name/Address Change Form - New Jersey


File Size: 486.5 kB
Pages: 1
File Format: PDF
State: New Jersey
Category: Government
Author: tyrjura
Word Count: 229 Words, 1,346 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.state.nj.us/treasury/revenue/notarychange.pdf

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Form Not-2 Rev 7/1/02

STATE OF NEW JERSEY NOTARY PUBLIC NAME and/or ADDRESS CHANGE FORM

This statement must be filed whenever a NOTARY PUBLIC adopts a name and/or address change different from that which was used at the time the commission was issued and BEFORE signing any document authorized or requested to be sign as a NOTARY PUBLIC. This statement must ALSO be filed in the office of the county clerk in which the Notary Public may have filed the certificate of the commission and qualification.

IDENTIFICATION NO.

COMMISSION DATE

EXPIRATION DATE

PLEASE PRINT OR TYPE ALL INFORMATION BELOW

FULL NAME OF NOTARY

PREVIOUS FULL NAME OF NOTARY

ADDRESS OF NOTARY (INCLUDE COUNTY)

PREVIOUS ADDRESS OF NOTARY (INCLUDE COUNTY)

SET FORTH CIRCUMSTANCES AND DATE BELOW UNDER WHICH NEW NAME WAS ADOPTED (I.E., MARRIAGE, DIVORCE, COURT ORDER, ETC.)

REASON

DATE

I HEREBY CERTIFY THAT THE ABOVE FACTS ARE TRUE AND CORRECT AND THE SIGNATURE PROVIDED BELOW IS TRUE AND CORRECT.

NAME

DATE

The fee is $25.00 for name changes only. there is no charge for a change of address. Your cancelled check , an is your receipt. If you need written proof of these changes, an additional $1.00 will be assessed and a check for $26 should be submitted. ALL CHECKS SHOULD BE MAILED TO: DIVISION OF REVENUE NOTARY PUBLIC SECTION PO BOX 452 TRENTON, NJ 08646