NOTARY PROTEST - DOC by kosupo

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									I, ____________________________________________, a Notary Public in and for ___________________________________, on this ____ day of ________________, 2002, received a request to perform a North Carolina Statutues (UCC 3-505 ) notarial protest on a dishonored bill of exchange for John Quincy Doe and Jane Sue Doe <<Your address>>, <<Your City>>, <<Your State>> and am unwilling and/or unable to perform same.

Notary Signature Notary Address:


								
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