Free Notary Public Form Request for Lists of New Filings - Oregon

Phone: (503) 986-2212 Fax: (503) 373-1166 Secretary of State Corporation Division 255 Capitol St. NE, Suite 151 Salem, OR 97310-1327 FilingInOregon.com

Request for Lists - New Filings NOTARY

Reset
AREA CODE & PHONE NUMBER

Print

CUSTOMER INFORMATION: NAME OF CUSTOMER

BUSINESS NAME

MAILING ADDRESS (Street Address, City, State, Zip):

TYPE OF BUSINESS

BUSINESS WEBSITE ADDRESS

DESCRIBE HOW THIS INFORMATION WILL BE USED

BUSINESS E-MAIL ADDRESS

NOTARY ­ Available in tab delimited text only Information includes: Notary name, address, commission number, and expiration date. FREQUENCY MONTHLY ($15.00 per month) WEEKLY ($15.00 per week) AMOUNT ENCLOSED: $ AMOUNT ENCLOSED: $
(maximum 12 months or $180) (maximum 52 weeks or $780)

LIST OF ALL ACTIVE NOTARIES ($50.00 fee per request) MEDIA TYPE CD-ROM DELIVERY Diskette E-Mail E-Mail to following address

­ If list are not emailed, please choose delivery option:
Mail to above address

Pick-up in person PAYMENT - PREPAYMENT REQUIRED.

Make check payable to "Corporation Division", or you may fax this request with payment by VISA or MasterCard to 503-373-1166 Please charge $ to my Visa/MasterCard. Expiration Date:

VISA OR MASTERCARD #:

SIGNATURE:

510 (Rev. 8/02)