INSTRUCTIONS FOR NOTARY PUBLIC ADDRESS CHANGE
TYPE OR PRINT IN INK. Read all instructions and information carefully. Only your
signature should be written, all other information should be printed or typed. All
questions must be answered completely.
1. Enter your name exactly as it appears on your current commission.
2. Self-explanatory.
3. Self-explanatory.
4. Enter the name of your principal place of business. If you do not work for a business or
do not have a business name, enter “self-employed.”
5. Your principal place of business is where you perform 50% or more of your notary
duties. Enter the address of your principal place of business. Do not enter a P. O. Box
number. If your principal place of business has no street and number address, enter
the nearest intersection or street, highway or road name or number, or a rural free
delivery route and box number.
6. Enter the address where you receive your business mail if different from Item 5. If the
mailing address is a P. O. Box, enter that address.
7. Enter your home address. Do not enter a P. O. Box number. If your home address has
no street and number address, enter the nearest intersection or street, highway or road
name or number, or a rural free delivery route and box number.
8. Enter your e-mail address (optional).
9. Sign your name exactly as you signed your application and oath of office.
Mail completed form by certified mail to:
Secretary of State, Notary Public Section, P. O. Box 942877,
Sacramento, CA 94277-0001
Read instructions on back before completing this application.
This application is presented for filing pursuant to Government Code Section 8213.5
1. PRINT NAME EXACTLY AS SHOWN ON COMMISSION:
(FIRST) (MIDDLE) (LAST)
2. COMMISSION NUMBER 3. EXPIRATION DATE
4. NAME OF PRINCIPAL PLACE OF BUSINESS
5. BUSINESS ADDRESS (DO NOT LIST A P. O. BOX)
CITY
,CA
ZIP CODE
6. ADDRESS WHERE YOU RECEIVE YOUR BUSINESS MAIL (IF DIFFERENT
FROM 5.)
CITY
,CA
ZIP CODE
7. ADDRESS WHERE YOU LIVE (NUMBER, STREET, APARTMENT NO.
DO NOT LIST A P. O. BOX)
CITY
,CA
ZIP CODE
8. E-MAIL ADDRESS (OPTIONAL)
9. ______________________________________________________________________________________________________________________________
SIGNATURE DATE
SOS/NP 34 (7/03)
STATE OF CALIFORNIA
SECRETARY OF STATE
NOTARY PUBLIC ADDRESS CHANGE
IMPORTANT-TYPE OR P
RINT IN INK
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