Fill out Section 1 on the Request to Restrict Arrest Record form. Submit the form to the arresting agency.A dissolved limited liability company may file a certificate of termination with the Secretary of State. Form CD 415 may be used for this purpose. Downloadable Acrobat Reader Forms. CLAIMS. View and download Notary Public Forms and files useful for Georgia Notary Applications in the State of Georgia. 6y. "How do I write a letter to the bank requesting to remove my name from the mortgage? " I doubt that this will work for you. Q: What should be included in a Letter of Authorization to Remove Property? Use this form to apply for asylum in the United States and for withholding of removal (formerly called "withholding of deportation").