Notary Public Examination Registration

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I, [YOUR NAME], hereby apply to register for the Notary Public Examination to become commissioned as a notary public by state laws and regulations. I understand and agree to comply with the qualifications and requirements necessary for this commission.

I. Personal Information

• Full Name: [YOUR NAME]

• Address: [YOUR COMPANY ADDRESS]

• City: [City]

• State: [State]

• ZIP Code: [ZIP Code]

• Email Address: [YOUR COMPANY EMAIL]

• Phone Number: [YOUR COMPANY NUMBER]

II. Eligibility Confirmation

I confirm that I meet the following eligibility criteria to apply for the Notary Public Examination:

• I am a resident of [State].

• I am at least 18 years of age.

• I am not disqualified under any state laws from being commissioned as a notary public.

III. Previous Notary Public Commissions (if applicable)

• Have you held a notary public commission before? [Yes/No] If yes, please provide details:

IV. Education and Training:

• Highest Level of Education Completed: [Degree/Diploma]

• Notary Public Education or Training Courses Completed (if any): [Course Names/Dates]

V. Signature

I declare under penalty of perjury that the information provided herein is true and correct to the best of my knowledge.

[YOUR NAME]

[DATE]

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Please submit this completed form along with any required fees and supporting documents to the appropriate state notary public office or commissioning authority.

• For office use only:

• Application Fee Paid: [Yes/No]

• Date Received: [DATE RECEIVED]

• Application Approved: [Yes/No]

• Examination Date: [EXAMINATION DATE]

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