Reappointment Application For Notary Public

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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