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Get Notary Block Template

R the purpose of establishing that the applicant meets the statutory requirements of 5 GCA Chapter 33. Failure to provide the information requested on this form may result in denial of a notary public commission. This application will be a public record with the exception of Box 2 and 3. (TYPE OR PRINT CLEARLY) Legal Name: , , , (Last Name) (First Name) (Middle Name) Name on Commission Certificate:.

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