California Notary Pubic Address Change Form

If you are a Notary Public in the State of California and need to change the address that you have previously registered with the state, you have to use this form. Complete the form and send it along with any required filing fees.

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INSTRUCTIONS FOR NOTARY PUBLIC ADDRESS CHANGE 
 
 	
TYPE OR PRINT IN INK.  Read all instructions and information carefully.  Only your 
signature should be written, all other information should be printed or typed.  All 
questions must be answered completely. 	
 
 
  
1.  Enter your name exactly	
 as it appears on your current commission. 
 
2. Self-explanatory. 
 
3. Self-explanatory. 
 
4.  Enter the name of your principal place of business.  If you do not work for a business or 
do not have a business name, enter  “self-employed.” 
 
5.  Your principal place of business is where you perform 50% or more of your notary 
duties.  Enter the address of your principal place of business.  Do not enter a P. O. Box 
number.  If your principal place of business has no street and number address, enter 
the nearest intersection or street, highway or road name or number, or a rural free 
delivery route and box number. 
 
6.  Enter the address where you receive your business mail if different from Item 5.  If the 
mailing address is a P. O. Box, enter that address. 
 
7.  Enter your home address.  Do not enter a P. O. Box number.  If your home address has 
no street and number address, enter the nearest intersection or street, highway or road 
name or number, or a rural free delivery route and box number. 
 
8.  Enter your e-mail address (optional). 
 
9.  Sign your name exactly
 as you signed your application and oath of office. 
 
 
 
 
 
 
Mail completed form by certified mail	 to: 
 
Secretary of State, Notary Public Section, P. O. Box 942877, 
Sacramento, CA  94277-0001

Read instructions on back before completing this application. 
This application is presented for filing pursuant to Government Code Section 8213.5 	
 
1. PRINT NAME EXACTLY AS SHOWN ON COMMISSION:       
                (FIRST)                                                                            (MIDDLE)                                                                        (LAST) 
 	
2. COMMISSION NUMBER  3. EXPIRATION DATE 
4. NAME OF PRINCIPAL PLACE OF BUSINESS 
  
 
 
5. BUSINESS ADDRESS (DO NOT LIST A P. O. BOX) 
 CITY          
                                                        
 
 
                                                                         ,CA      ZIP CODE 
6. ADDRESS WHERE YOU RECEIVE YOUR BUSINESS MAIL (IF DIFFERENT 
FROM 5.) CITY 
     
                                                          
 
                                                                         ,CA      ZIP CODE 
7. ADDRESS WHERE YOU LIVE (NUMBER, STREET, APARTMENT NO.   
DO NOT LIST A P. O. BOX) 
 CITY 
 
 
 
                                                                           ,CA ZIP CODE 
 
 
8. E-MAIL ADDRESS (OPTIONAL) 
 
 
 
 
 
 
 
 
9. ______________________________________________________________________________________________________________________________ 
               SIGNATURE                                                                                                                                                                                            DATE 
 
 
SOS/NP 34  (7/03) 	
 	
STATE OF CALIFORNIA 	
 	
SECRETARY OF STATE 	
 	
NOTARY PUBLIC ADDRESS CHANGE 	
 
                                  IMPORTANT-TYPE OR PRINT IN INK