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County Seal Clear Form MICHIGAN DEPARTMENT OF STATE OFFICE OF THE GREAT SEAL For County Use Only County name Date of oath and bond Oath administered filed with APPLICATION FOR MICHIGAN NOTARY PUBLIC COMMISSION b o x Please print legible or type ALL fields must be completed or application will be returned 1. Your signature must match your commissioned name printed above. Form 98 Rev. 12/14 THIS APPLICATION MUST FIRST BE PROCESSED AT YOUR LOCAL COU...
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My State Bar number is P-##### and my name, as it will appear on all documents I notarize, is [NAME].

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