What information does the form request?

It asks for the check writer’s name, address, and phone number; the date of notification; and the affiant’s printed name, signature, and contact information.

Do I need a notary for the Certificate of Notification?

No. The form is signed and dated without a notary and contains no notarized or sworn attachment.

How do I submit the Certificate of Notification?

Submit it to the county office named on the form. The document does not list a submission address or contact details, so check the county website.

Effingham County, GA · Effingham County

No notary required

Certificate of Notification

This form documents that an affiant notified a check writer about a returned check by mailing a copy to the person’s property address.

At a glance

Issued by: City of Effingham County · Effingham County, Effingham County, Georgia
Notarization: Not required: file this form without a notary.
Official source: effinghamcounty.org
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

The Certificate of Notification records that the affiant notified the person who wrote a returned check by mailing a copy in a properly addressed, adequately stamped envelope. It cites Code Section 13-6-15(c) of the Official Code of Georgia. The form requests the check writer’s name, address, and phone number, along with the notification date and the affiant’s printed name, signature, and contact information.

Who needs it

An affiant completing a certification that a person who wrote a returned check was notified by mail may use this form.

How to submit it

Submit it to the county office named on the form; check the county website for current contact details.

About notarization

This document is signed and dated without a notary; it contains no notarized or sworn attachment, so the affiant just signs and dates it.

How to submit this form

1
Download the Form
Download the Certificate of Notification PDF.
2
Complete the Form
Enter the check writer’s information, notification date, and the affiant’s name and contact information.
3
Sign and Date
The affiant prints their name, signs, and completes the date.
4
Submit to the County
Submit the completed form to the county office named on the form; check the county website for current contact details.

Frequently asked questions

What does the Certificate of Notification document?: It records that the affiant notified the person who wrote a returned check by mailing a copy in a properly addressed envelope with adequate postage.
What information does the form request?: It asks for the check writer’s name, address, and phone number; the date of notification; and the affiant’s printed name, signature, and contact information.
Do I need a notary for the Certificate of Notification?: No. The form is signed and dated without a notary and contains no notarized or sworn attachment.
How do I submit the Certificate of Notification?: Submit it to the county office named on the form. The document does not list a submission address or contact details, so check the county website.

Need something notarized?

This Certificate of Notification doesn’t need a notary, but if you have another Effingham County form that does, a commissioned online notary can help.