MICHIGAN
County Seal For County Use Only County name Date of oath and bond Oath administered by, and bond filed with: Attorney (oath only) MICHIGAN DEPARTMENT OF STATE OFFICE OF THE GREAT SEAL (Please print or type; all fields must be completed or application will be returned) 1. Driver's license or personal identification card number: 2. Full Name (first/middle/last) 3. Residence address: (No PO boxes) (Clerk's initials) APPLICATION FOR MICHIGAN NOTARY PUBLIC COMMISSION Issuing state: City: State: Zip: 4 MoreIssuing state: 2. Full Name (first/middle/last). 3. Residence address: (No PO boxes). City: State: Zip: 4. Date of birth: 5. E-mail address: If none, please indicate Less
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