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
Professional Experience:
[Senior Accountant]
[5 years]
III. Legal Background
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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