INSTRUCTIONS FOR FILING
NOTARY PUBLIC RECORDING LOST OR STOLEN SEAL
Complete all the sections of the application in accordance with West Virginia Code
§39-4-18(b) and return to
address below for filing with the West Virginia Secretary of State.
Section 1. Name of notary public reporting the LOST or STOLEN SEAL:
Enter the full name of the notary public
reporting the LOSS or THEFT of his/her notary seal.
Section 2. Check the box that applies to your situation
: Check the appropriate box indicating the circumstance under
which your notary seal became LOST or STOLEN.
Section 3. Date you first realized your seal was LOST or STOLEN
: Enter the date (MM/DD/YYYY) you first
realized your notary stamp/seal was LOST or STOLEN.
Section 4.
Address Information
: Enter the most recent address information (
Street, City, State and Zip Code
) for the
notary public as recorded with the West Virginia Secretary of State.
Section 5.
Provide a brief description of how the seal was lost or stolen
: Briefly describe how the stamp/seal was lost
or stolen. Attach additional page(s), if necessary.
Section 6. Contact Name and Signature Information:
a.
Contact Name
–
PRINT
the contact name of the notary public filing the requested change(s).
b.
Contact Phone
– Enter the phone number including the area code of the notary public filing the
requested change(s).
c.
Signature/Date
– The notary public requesting the change(s) must SIGN and DATE the application.
If
the application is NOT signed/dated, the application will be rejected and returned to the notary
public for correction.
Clarksburg Office
North Central WV Business Center
200 West Main Street
Clarksburg, WV 26301
Phone: (304) 367-2775
Fax: (304) 627-2243
Hours: Mon. -Fri. 9:00a - 5:00p EST
Charleston Office
West Virginia Secretary of State
State Capitol Building
1900 Kanawha Blvd. East
Bldg. 1, Ste. 157-K
Charleston, WV 25305
Phone: (304) 558-8000
Fax: (304) 558-8381
Hours: Mon. - Fri. 8:30a - 5:00p EST
SUBMIT COMPLETED FILING TO ONE OF THE BUSINESS CENTERS BELOW:
Martinsburg Office
Eastern Panhandle Business Center
229 E. Martin Street
Martinsburg, WV 25401
Phone: (304) 356-2654
Fax: (304) 260-4360
Hours: Mon. - Fri. 9:00a - 5:00p EST
