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3 Notarized ID Form Main .pdf


Original filename: 3 Notarized ID Form_Main.pdf
Title: Notarized ID Form_Main

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Notification for Correct Name and Address
Notarized Document for Drivers License and Social Security Card for:

Date:
IN WITNESS WHEREOF, the said party has signed and sealed these presents the day and year
first above written.
Signed, sealed and delivered in the presence of: _________________________________
STATE OF GEORGIA
SS:

ACKNOWLEDGMENT

COUNTY OF

I , ____________________________________, a Notary Public, do HEREBY CERTIFY that
On ____day of __________, 20______ on this day before me, an officer duly qualified to take
acknowledgments, personally appeared __________________________, who has produced Drivers License and
Social Security Card as identification, known to me to be the person whose name is subscribed to the foregoing
instrument, and swore and acknowledge to me that he/she executed the same for the purpose and in the capacity
therein expressed, and that the statements contained therein are true and correct.

WITNESS my hand and official seal in the County and State aforesaid, this instrument was
acknowledged before me On _____ day of __________, 20______

__________________________________

_____________________________________

Notary Signature

Name

_________________________________________
Notary Printed Name

_________________________________________
My Commission Expires

Seal:


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