"Change in Status and Duplicate Commission Request Form" - South Carolina

Change in Status and Duplicate Commission Request Form is a legal document that was released by the South Carolina Secretary of State - a government authority operating within South Carolina.

Form Details:

  • Released on August 1, 2019;
  • The latest edition currently provided by the South Carolina Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Carolina Secretary of State.

ADVERTISEMENT
ADVERTISEMENT

Download "Change in Status and Duplicate Commission Request Form" - South Carolina

Download PDF

Fill PDF online

Rate (4.8 / 5) 14 votes
S
C
STATE OF
OUTH
AROLINA
O
S
S
FFICE OF THE
ECRETARY OF
TATE
T
H
M
H
HE
ONORABLE
ARK
AMMOND
Change in Status and
Duplicate Commission Request Form
Filing Fee: $10.00
Please check the appropriate option(s) and complete the information as required. You will only need to
complete the sections relevant to your change of information. Please type or print in black or blue ink.
The applicant is requesting the following:
[ ] Notary Public Name Change
If requesting a name change, please provide the following information:
(please print)
Changed From:
Changed To:
Name
(as commissioned)
Name Changes: Once you have received your new notary public commission bearing your new name
from the Secretary of State’s Office, you may officially begin notarizing documents in your new name
as issued on your commission. Please enroll your new commission in your new name with your
county’s Clerk of Court. You will need a new seal that reflects your name change. You also need to
destroy or deface any seals bearing your old name so they cannot be misused. The expiration of your
term as a notary public will remain the same as it was prior to your name change.
Notary Public Address Change
If requesting a change to any of the following, please complete the applicable portions:
[ ] Change of Home Address
Old Home Address:
New Home Address:
_____________________________________
_____________________________________
Street Address, City, Zip Code
Street Address, City, Zip Code
Old Home County: _____________________
New Home County: ____________________
Phone: _______________________________
Email: _______________________________
[ ] Change of Mailing Address
Old Mailing Address:
New Mailing Address:
_____________________________________
_____________________________________
Street Address, City, Zip Code
Street Address, City, Zip Code
Phone: _______________________________
Email: _______________________________
S
C
STATE OF
OUTH
AROLINA
O
S
S
FFICE OF THE
ECRETARY OF
TATE
T
H
M
H
HE
ONORABLE
ARK
AMMOND
Change in Status and
Duplicate Commission Request Form
Filing Fee: $10.00
Please check the appropriate option(s) and complete the information as required. You will only need to
complete the sections relevant to your change of information. Please type or print in black or blue ink.
The applicant is requesting the following:
[ ] Notary Public Name Change
If requesting a name change, please provide the following information:
(please print)
Changed From:
Changed To:
Name
(as commissioned)
Name Changes: Once you have received your new notary public commission bearing your new name
from the Secretary of State’s Office, you may officially begin notarizing documents in your new name
as issued on your commission. Please enroll your new commission in your new name with your
county’s Clerk of Court. You will need a new seal that reflects your name change. You also need to
destroy or deface any seals bearing your old name so they cannot be misused. The expiration of your
term as a notary public will remain the same as it was prior to your name change.
Notary Public Address Change
If requesting a change to any of the following, please complete the applicable portions:
[ ] Change of Home Address
Old Home Address:
New Home Address:
_____________________________________
_____________________________________
Street Address, City, Zip Code
Street Address, City, Zip Code
Old Home County: _____________________
New Home County: ____________________
Phone: _______________________________
Email: _______________________________
[ ] Change of Mailing Address
Old Mailing Address:
New Mailing Address:
_____________________________________
_____________________________________
Street Address, City, Zip Code
Street Address, City, Zip Code
Phone: _______________________________
Email: _______________________________
Address Changes: Following a change of address or contact information, the expiration date of
your term as a notary public will remain the same. You are not required to make any changes to your
seal. If you have moved to a new county, you must enroll your commission with the Clerk of Court
in your new county.
[ ] Duplicate Copy of Notary Public Commission
Duplicate Copies: You may request a duplicate copy of your commission at any time. If you have
changed your name or address, you will receive a new commission and do not need to request a
duplicate commission.
Please provide your date of birth: _____________________________________________________.
Sworn to and subscribed before me
Print Name:______________________________
This _______ day of _________, 20_____
In the presence of a notary, please sign your name
as printed above.
__________________________________
Notary Public of South Carolina
__________________________ ____________
Signature of Applicant
__________________________________
Date
Printed Name
*Please sign and print your name here exactly as
My Commission Expires ______________
commissioned. If you are filing a name change, please
sign and print your new name. The signature and
printed name must match. Your commission will be
issued the way your new name is printed here.
.
Filing Instructions
1. Return by mail or hand delivery to: Secretary of State
Attn: Notary Division
1205 Pendleton Street, Suite 525
Columbia, SC 29201
2. Please make checks payable to the South Carolina Secretary of State.
3. Include the $10.00 filing fee. The total fee for this form is $10.00, even if more than one option is selected.
4. S.C. Code of Laws §26-1-130 states a notary must notify the Secretary of State of any changes to the
notary’s legal name, address, or county within 45 days of the change(s) using a Change In Status Form as
prescribed by the Secretary.
5. This form must be signed and notarized. You cannot notarize your own signature, but must have it
notarized by another notary.
6. The Notary Public Division is open from 8:30 a.m. to 5:00 p.m., Monday through Friday, except on state
holidays. To contact the Secretary of State’s Notary Division, call (803) 734-2512 or email
notary@sos.sc.gov.
Form Revised by South Carolina Secretary of State, August 2019
Page of 2