NOTE: USE THIS FORM only IF MAILING TO YOUR SECRETARY OF STATE. Delete this line and the above line before mailing.
NAME OF SECRETARY OF STATE OF YOUR STATE YOUR STATE SECRETARY OF STATE c/o Name of Department or Division that handles apostilles additional address info, if specified additional address info, if specified Street Address or P.O. Box City, State ZIP Dear NAME OF SECRETARY OF STATE: You are herein given official notice that I, as an official Notary of the STATE of YOUR STATE, have been requested to present this Act of State document, RB 123 456 789 US, on behalf of John-Lee: Doe. Please find enclosed a one (1) page document for certification of apostille. Also enclosed is payment (money order) for required fees and services pursuant to YOUR STATE STATE statutes in the total amount of $5.00 USD. After certification, please return originals to the below address. Type of Document:
Registered Mail # RB 123 456 789 US
Act of State for ENGLAND Apostille, by YOUR STATE SECRETARY OF STATE
Return Apostille and original document to: John-Lee: Doe C/o Name of Notary, Notary Acceptor Notary Street Address City, State ZIP Thank you for your assistance.
Stamp & Seal Notary Signature ______________________ Notary Name (Address)
Certification of Apostille Requested by: Your Upper Lower Signature ___________________________________ John-Lee: Doe
Enclosure: Act of State, RB 123 456 789 US