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You can print this page
for use as a Check-List.
Change of Name Form
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General
Notes:
- For questions
requiring additional explanations - Select Application
Attachments from the menu on the left
- Use the Check List
provided
- Call our office
(727.578.4400) if you have any questions
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This application requires Adobe
Acrobat Reader.
Click here
to download it for FREE.
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When you are ready to fill out
the application click
here
or on the button below.
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Change of Name Checklist
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Sign your official signature as currently
commissioned.
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Sign your new official signature the same, as
your new commission name.
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Imprint your current seal in the space
provided.
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Locate your current, original Certificate of
Commission.
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Mail the completed form and a check in the
amount of $50.00 (plus tax) made payable to:
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Vermost &
Associates, LLC
1120 Belcher Road South
Suite #1
Largo, FL 33771 |
Vermost & Associates, LLC
1120 Belcher Road South Suite #1
Largo, Florida 33771
727.578.4400 Office
727.577.4991 Fax
For information
information@suretyware.com
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