Mississippi Notary Public Replacement of Commission Form

In the case of wanting to replace a commission certificate that has been lost/destroyed, the following form has to be completed and submitted along with a $20 filing fee.

Extracted Text for Proper Search

MISSISSIPPI SECRETARY OF STATE 	
POST OFFICE BOX 1020 	
JACKSON, MISSISSIPPI 
392	
15-1020  	
 
APPLICATION FOR REPLACEMENT COMMISSION  	
SOS FORM NP 006 April, 2007	  	 PAGE 1 of 1 Pages 	
 
 
 
This application must be typed or printed in ink.  This  form is 
 designed to be completed and printed from your computer.  
You will not be able to save the form on your computer unl ess you have the appropriate software.   Return completed 
Application, together with the $20.00 fee to the S ecretary of State’s Office. 
 
The undersigned Notary, hereby, notifies the Secretary of  State of the need for a replacem
 ent Commission: 
 
______________________________________________, _________________,   _______________            (Type or print name exactly as it appears on your Co mmission)    (Commission expiration date)                (Notary ID Number) 
 
A replacement Commission is needed as a result of the following: 
     
        Commission Certificate has been lost or destroyed;
         Seal has been lost or stolen; or 
          Other
 
 
 
 
 Commission Certificate or Seal has been stol en, please attach a copy of the Police Report. 
 
 
 The replacement certificate will be mailed to the address of record.
 
 
 
This the ________ day of ______________, 20_______. 
 
 
 
__________________________________________ 
Signature of Notary