The form for notice of change in the information required by 18 NCAC 07D .0301 shall include:

1. (1) the notary public's commission name and county of commission;
2. (2) the notary's commission number;
3. (3) contact information for the notary;
4. (4) last four digits of the notary's SSN;

5. (5) for each change:

   1. (a) which item of information regarding the notary has changed;
   2. (b) the information as it existed before the change; and
   3. (c) the information after the change; and
6. (6) the printed name and signature of the notary and the date signed.

History Note: Authority G.S. 10B-4;
Eff. July 1, 2024.