Notary Geek New USPS 1583 form Wizard

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Date mailbox opened

MonthDayYear
Date
Address of your rented mailbox info
Street Address of rented mailbox ( not mailbox number or city just street address and name)

PMB #

CityState / Province

ZIP + 4®
Mailbox number assigned to you from mailbox vendor (PMB)

Street Address to be Used for Delivery

CityState / Province

ZIP + 4®
City of rented mailbox
State of rented mailbox, use only the 2 letters not full state name
ZIP code of rented mailbox
Will this be person or business use?
Applicant First Name
Applicant Middle Name
Applicant Last Name
Email Address
example@example.com
The address listed on your document used for box 9g (the address ID). This is usually where you actually live. If you do not live in the U.S. then do not list a U.S. address here.

Do NOT use the address on your passport unless it matches the address document. The passport is not used to verify your address.

Country

CityState

Zip + 4
City on your address 2 ID, must match your address ID
Your phone number
The state or region you live in,must match address type 2
Zip code where you live, must match your address ID
Country

Applicant’s Street Home Address

Country

CityState

Zip + 4
Is applicant a court-ordered protected individual? Select no almost always
You must attach a copy of the court order.

Cancelof
Authorized Individual
Name

First NameMiddle InitialLast Name
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Transferring PMB Mail to Another Address
Address

Street Address Mail Is Transferred To

Country

CityState

Zip + 4Country
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Business/Organization Information
Name of Business/Organization
Type of Business
Business Street Address

Country

CityState

Zip + 4
City
State 2 letters only
Zip
Phone number for company
Country

Business Street Address

Country

CityState

Zip + 4
Place of Registration
Photo ID Information for Applicant (passport)
Applicant’s full legal Name
Applicant phone number
Your passport number ( ID number on passport or U.S. DL)
Issuing Entity for your passport
Expiration Date on the passport or U.S. driver license

MonthDayYear
Date
Photo ID type
Address ID Information for Applicant
Applicant’s Name must match your ID
Applicant's Street Home Address

Street Address Line 2

CityState

ZIP + 4
City
State
Zip + 4
Country

Applicant's Street Home Address

Street Address Line 2

CityState

ZIP + 4
Address ID type
Photo ID Information for Authorized Individual (if applicable)
Authorized Individual’s Name
Authorized Individual’s ID Number
Issuing Entity
Expiration Date on the ID

YearMonthDay
Date
Address ID type
Address ID Information for Authorized Individual (if applicable)
Authorized Individual’s Name
Address

Authorized Individual’s Street Home Address

Street Address Line 2

CityState

ZIP + 4Country
Address ID type
This only applies if a minor will receive mail to box
Signature of Applicant
Date

YearMonthDay
Date
Signature of Witness
Date

YearMonthDay
Date
Should be Empty:

Address of your rented mailbox info

Authorized Individual

Transferring PMB Mail to Another Address

Business/Organization Information

Photo ID Information for Applicant (passport)

Address ID Information for Applicant

Photo ID Information for Authorized Individual (if applicable)

Address ID Information for Authorized Individual (if applicable)