S.D. Admin. R. 5:04:03:04
The form for Notary Public Request to Change Record is as follows:
NOTARY PUBLIC REQUEST TO CHANGE RECORD
Please Type or Print Clearly in Ink
No Filing Fee
Return to: Secretary of State, 500 East Capitol Ave., Pierre, SD 57501
Name as it appears on your commission ______________________________________
Additional name(s) commissionerd under _____________________________________
Date commission issued ___________________________________________________
County _________________________ Date of Birth ________________________
Email (optional) ____________________ Phone Number ______________________
Mark all boxes that apply:
CHANGE SEAL:
Make Imprint of New Seal Here
o I would like to use the new notary seal imprint shown. I intend to use both the new seal and my current notary seal. When I renew my commission, I am aware I will need to place an imprint of both notary seals on the application.
o I would like to discontinue the use of my current notary seal on file and use the imprint of the new notary seal shown.
CHANGE NAME:
o I would like to change my name on my notary public commission and will use the imprint of the new notary seal above. Complete the following:
Date of name change _________________________________________________
Changed by Court Order o Marriage o
New name ____________________________________________________
(as it appears on new notary seal)
CHANGE ADDERSS:
o I would like to change my physical address on file to the address below.
________________________________________________________________________
Physical Address City State Zip County
o I would like to change my mailing address on file to the address below.
________________________________________________________________________
Mailing Address City State Zip County
I hereby state that the above information is true and correct. I understand that I will not be able to use a new notary seal imprint until I am notified by the Secretary of State.
Dated ____________________ ________________________________________
Signature
(sign your name EXACTLY as found on your seal imprint)
File Date: ______________________
Commission Date:________________
Notary ID: ______________________
S.D. Admin. R. 5:04:03:04
General Authority: SDCL 18-1-1.
Law Implemented: SDCL 18-1-1, 18-1-3.
The amended version of this section by 51 SDR 017, effective 8/19/2024 is not yet available.