Notary Application Form

I. Personal Information

• Name: [Your Name]

• Date of Birth: [Your Date of Birth]

• Social Security Number: [Your Social Security Number]

• Phone Number: [Your Phone Number]

• Email Address: [Your Email Address]
  

II. Qualifications

• Education Background:

• [Bachelor of Science in Business Administration]

• [University of Science and Business]

• [2050]

• Professional Experience:

• [Senior Accountant]

• [5 years]

• Notary Training:

• [Notary Public Training Program]

• [Notary Academy]

• [March 15, 2053]

III. Legal Background

• Criminal History:

• Have you ever been convicted of a felony? [Yes/No]

• Civil History:

• Have you ever been involved in civil litigation related to fraud or dishonesty? [Yes/No]

IV. References

Please provide the contact information for two professional references:

• Reference 1:

• Name: [Name of Senior Manager]

• Title/Position: [Senior Manager]

• Phone Number: [Phone Number of Senior Manager]

• Reference 2:

• Name: [Name of Human Resource Director]

• Title/Position: [Human Resources Director]

• Phone Number: [Phone Number of Human Resources Director]

V. Declaration

I, [Your Name], solemnly declare that the information provided in this application form is true and accurate to the best of my knowledge. I understand that any false statements made may result in the denial of my application or revocation of my notary commission.

VI. Affirmations

• I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge.

• I understand that any false statements or omissions may result in the denial, revocation, or suspension of my notary commission.

• I agree to abide by all laws, regulations, and ethical standards governing notarial acts in the State of [State].

VII. Signature

This certificate has been formally finalized and authenticated directly under my hand and officially stamped with my seal on the specified date of [Date].

Printed Name of Applicant: [Your Name]
Date: [Date Signed]

Printed Name of Notary Public: [Notary Public Name]
Date: [Date Signed]
Notary Seal (if applicable): [Seal]

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