Reappointment Application For Notary Public
I. Personal Information
Name: [Your Name]
Address: [Your Company Address]
State: [State]
Phone Number: [Your Company Number]
Email Address: [Your Company Email]
II. Previous Notary Commission Information
Commission Number: [Your Previous Commission Number]
Date of Commission Expiration: [Your Previous Commission Expiration Date]
Issuing Authority: [Issuing Authority of Previous Commission]
Any Past Disciplinary Actions: [Any Past Disciplinary Actions if applicable, otherwise N/A.
III. Professional Background
Current Occupation: [Your Current Occupation]
Length of Time as a Notary: [Number of Years as a Notary]
Educational Background: [Educational Background related to Notary Services]
IV. Statement of Intent
I, [Your Name], hereby affirm my intention to continue serving as a Notary Public in the state of [State]. I understand the responsibilities and duties associated with this role and am committed to upholding the highest standards of integrity and professionalism.
V. Acknowledgment
I certify that all information provided in this reappointment application is true and accurate to the best of my knowledge.
Notary Public Name: [YOUR NAME]
[DATE SIGNED]
Notary Seal (if applicable): [SEAL]
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