Notary Public Contact Information Change Form Ver E
Georgia Notary Public Contact Information Change Form
All requests are directed to the notary's commissioning county Clerk of Superior Court.
Name Changes:
Once you have received confirmation from the appointing Clerk of Superior Court (typically an
amended notary certificate of appointment) and you have obtained a new seal bearing the new name
exactly as indicated in the confirmation, you may officially begin signing your new name on notarial
certificates.
Most counties require personal appearance for name changes; please contact your commissioning
county for specific instructions (www.gsccca.org/clerks for contact information).
Address Changes:
If you have moved to another county, you remain a notary of the original commissioning county until
your current term expires and may continue to use your existing seal/stamp. When your term expires,
you will then apply as a new notary in your new county of residence.
Date:
Commissioning County:
Expiration Date:
Notary reference number
(if known):
Reason for name change:
(lost or stolen, marriage,
divorce etc: include
supporting documents)
(Please Print)
As Currently Commissioned
Changed To
Name
Address
City
State
Zip Code
Phone
E-mail Address
___________________________________
Notary Signature
Submit to:
AND
1. Clerk of Superior Court in the county in
which you are commissioned
(www.gsccca.org/clerks for contact
information).
2. GSCCCA
Notary Division
1875 Century Blvd Ste 100
Atlanta, GA 30345
Email: notary@gsccca.org
Fax: (404) 327-7887