Maryland Notary Public Name or Address Change Form

In the case of a Notary Public having their name or address changed in the State of Maryland, the Maryland Notary Public Name or Address Change Form has to be completed and submitted along with $5 filing fee.

Extracted Text for Proper Search

N	OTARY 	D	IVISION 	
OFFICE OF THE SECRETARY OF STATE, STATE HOUSE, ANNAPOLIS, MARYLAND 21401  	
(410) 974-5520  	
 	
NOTARY PUBLIC NAME AND	/OR ADDRESS CHANGE FORM	 	
 	
IF YOU CHANGED YOUR NAME OR ADDRESS SINCE YOU WERE COMMISSIONED	, PLEASE COMPLETE THIS FORM AND RETURN TO 
THE 	
OFFICE OF THE 	SECRETARY OF 	STATE BY MAIL	. 	 
NAME 	CHANGE 	—	 IF YOU HAVE CHANGED YOUR NAME SINCE YOU WERE COMMISSIONED	, PLEASE COMPLETE THE 
FOLLOWING INFORMATION	
. 	
 
Legal Name as it appears on commission: _______________________________________ 
 
New Legal Name: __________________________________________________________ 
 
* PLEASE CHECK	:  F	  Yes	  F	  No  Issue new commission with my new name: 	
NOTE	: If checked “Yes”, please submit a  $5.00 fee made payable to the Secretary of State, we will issue 
a commission reflecting your new name.  You should also acquire a new seal reflecting your new name.  
The Clerk of the Court will  collect an $11.00 fee when you are sworn in under your new name.  Prior to 
receiving your new commission, you should sign your name as follows with any notarial act. 	
 	
[Current name], commissioned as [Nam e as it appears on your commission] 	
For example: Mary Smith, commissioned as Mary Jones	 	
 
ADDRESS 	CHANGE 	—	 IF YOUR ADDRESS HAS CHANGED SINCE YOU WERE COMMISSIONED	, PLEASE COMPLETE THE 
FOLLOWING INFORMATION . (No fee required) 	
 
Legal Name as it appears on commission: _____________________ Date of Birth _______ 
 
County in which you were commissioned: _____________________ 
 
Address at time of commission: _______________________________________________ 
 
City: __________________________  State: ______  Zip: __________ 
 
Former Home Phone: ________________ Former Business Phone: ___________________ 
 
New County of Residence: _____________________ 
 
New Home Address: ________________________________________________________ 
 
City: __________________________  State: ______  Zip: __________ 
 
New Home Phone: _______________  Business Phone: _________________ 
 
FOR NAME CHANGE ONLY	 	
YOU MUST RETURN YOUR OLD COMMISSION BEFORE A NEW COMMISSION IS ISSUED.  
PLEASE SUBMIT WITH THIS APPLICATION A $5.00 FEE MADE PAYABLE TO THE 
SECRETARY OF STATE. 
 
SIGNATURE	: I SOLEMNLY 	AFFIRM	 under penalties of perjury and upon personal knowledge that the 
contents of the foregoing paper are true . 	
 
 
_____________________   _________________________________________ 
Date     Signature 	must	 be the same as name printed above

Local Elections Offices	 	
 	
Allegany County 	301-777-5932 	
Anne Arundel County 	410-222-6600 	
Baltimore City 	410-396-5550 	
Baltimore County 	410-887-5700 	
Calvert County 	410-535-2214 	
Caroline County 	410-479-8145 	
Carroll County 	410-386-2080 	
Cecil County 	410-996-5311 	
Charles County 	301-934-8972 	
Dorchester County 	410-228-2560 	
Frederick County 	301-600-8683 	
Garrett County 	301-334-1962 	
Harford County 	410-638-3564 	
Howard County 	410-313-5820 	
Kent County 	301-778-0038 	
Montgomery County 	240-777-8500 	
Prince George’s County 	301-952-3270 	
Queen Anne’s County 	410-758-0832 	
St. Mary’s County 	301-475-4655 	
Somerset County 	410-651-0767 	
Talbot County 	410-770-8099 	
Washington County 	240-313-2050 	
Wicomico County 	410-632-5500 	
Worcester County 	410-632-1320