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License holder notarized signature form 2026

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The document outlines the requirements for obtaining a license from the Minnesota Department of Human Services, specifically focusing on the notarized signature needed from the license holder. It details the definitions of individual and nonindividual license holders, provides instructions for completing the notarized form, and emphasizes the importance of verification by a notary public. Additionally, it includes information on where to send the completed form.

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Click ‘Get Form’ to open the license holder notarized signature form in the editor.
Begin by entering your full legal name as it appears on your tax forms in the designated field.
Fill in your address, city, state, and zip code accurately to ensure proper identification.
Provide your Social Security Number (SSN) if you are an individual license holder, or the Minnesota Tax ID for nonindividuals. Include the Federal Employer ID (FEIN) as required.
Carefully read the instructions regarding notarization. Do not date and sign until you are in front of a notary public. Ensure you have valid identification ready for verification.
After signing in the presence of a notary, make sure they affix their stamp or seal on the form. Keep a copy for your records before mailing the original to DHS Licensing by the specified deadline.

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