Notary Public Application For Appointment Template
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Notary Public Application for Appointment
I. Applicant Information
Full Name: [Your Name]
Date of Birth: [Your Date of Birth]
Address: [Your Address]
City: [Your City]
State: [Your State]
Zip Code: [Your Zip Code]
Phone Number: [Your Phone Number]
Email Address: [Your Email Address]
II. Qualifications and Experience
Education Background: [Your Education Background]
Previous Notary Experience: [Your Previous Notary Experience, if any]
Certifications/Licenses: [Any relevant certifications or licenses]
III. Notary Public Duties Acknowledgement
I acknowledge that as a Notary Public, I will be responsible for the following duties:
Administering oaths and affirmations
Witnessing signatures on important documents
Certifying the authenticity of documents
Maintaining accurate records of notarial acts
IV. Code of Ethics Acknowledgement
I understand and agree to abide by the Notary Public Code of Ethics, which includes:
Acting impartially and without bias
Protecting the integrity of notarial acts
Maintaining confidentiality of sensitive information
Refusing to perform notarial acts in cases of conflict of interest
V. References
Please provide the names and contact information of at least two references who can attest to your character and qualifications.
Reference 1:
Name: [Reference 1 Name]
Phone Number: [Reference 1 Phone Number]
Email Address: [Reference 1 Email Address]
Reference 2:
Name: [Reference 2 Name]
Phone Number: [Reference 2 Phone Number]
Email Address: [Reference 2 Email Address]
VI. Background Check Authorization
I hereby authorize [Your Company Name] to conduct a background check as part of the application process for the Notary Public appointment.
VII. Signature
By signing below, I acknowledge that the information provided in this form is true and accurate to the best of my knowledge.
Printed Name of Notary Public: [Your Name]
Date: [Date Signed]
Notary Seal (if applicable): [Seal]
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