"Evidence of Employment in Nebraska Form" - Nebraska

Evidence of Employment in Nebraska Form is a legal document that was released by the Nebraska Secretary of State - a government authority operating within Nebraska.

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NEBRASKA SECRETARY OF STATE
Business Services Division: Notary
1445 K St., 1301 State Capitol Bldg.
P. O. Box 95104 * Lincoln, NE 68509
(402) 471-2558 or (402) 471-4094
http://www.sos.ne.gov
Evidence of Employment in Nebraska Form
This form must be completed for a non-resident applicant who is employed by a business located
within the physical boundaries of Nebraska. The form must be completed by one of the
officers, directors, managers, or authorized representatives of the business.
being first duly sworn on oath say that
,
Name of Authorized Representative
Name of Notary Applicant
is employed as a(n)
for
, whose regular place of business
Position of Notary Applicant
Name of Business
is located within the physical boundaries of Nebraska.
The applicant is employed at the following location:
Address of Business
Signature of Authorized Representative
Title of Authorized Representative
Subscribed and sworn to before me this
day of
, 20
Signature of Notary Officer
My Commission expires
, 20
Affix Notary Seal Here
NEBRASKA SECRETARY OF STATE
Business Services Division: Notary
1445 K St., 1301 State Capitol Bldg.
P. O. Box 95104 * Lincoln, NE 68509
(402) 471-2558 or (402) 471-4094
http://www.sos.ne.gov
Evidence of Employment in Nebraska Form
This form must be completed for a non-resident applicant who is employed by a business located
within the physical boundaries of Nebraska. The form must be completed by one of the
officers, directors, managers, or authorized representatives of the business.
being first duly sworn on oath say that
,
Name of Authorized Representative
Name of Notary Applicant
is employed as a(n)
for
, whose regular place of business
Position of Notary Applicant
Name of Business
is located within the physical boundaries of Nebraska.
The applicant is employed at the following location:
Address of Business
Signature of Authorized Representative
Title of Authorized Representative
Subscribed and sworn to before me this
day of
, 20
Signature of Notary Officer
My Commission expires
, 20
Affix Notary Seal Here