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NOTARY PUBLIC COMMISSION APPLICATION Florida …

NOTARY PUBLIC COMMISSION APPLICATION Florida Department of State NOTARY Commissions and Certifications Section (850) 245-6975 PERSONAL information Full Name: (Last) (First) (Middle) Home Address: (Street) (Cit y) (State) (County) (Zip) Place of Employment: Unemployed Retired Business Address: (Street) (Cit y) (State) (County) (Zip) Mail to: Home Business Other Address: ( Box) (Cit y) (State) (Zip) Sex: Male Race: Asian E-mail Address: Female Black or African American (or write NONE ) Native American or Alaska Native White Home Phone: Other: (or write NONE ) Business Phone: Extension: (or write NONE ) Florida Driver License (or other State of Florida Issued ID): Date of Birth: / / (Month/Day/Year) Social Security Number _____ The disclosure of a Florida NOTARY PUBLIC applicant s social security number is expressly required by Fla

Oct 01, 2001 · identifying information relating to social security numbers, past and present law enforcement officers and their families, victims of certain crimes, etc. if you believe an exemption from the public records law applies to your florida notary public commission application submission, please check the following box:

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