Form Revised 01/0/2012
PROBATE COURT OF CALHOUN COUNTY, ALABAMA
APPLICATION FOR APPOINTMENT AS NOTARY PUBLIC
(Act 2011-295)
PLEASE PRINT LEGIBLY or COMPLETE USING ADOBE READER
TODAY’S DATE: ______________________________
1. Name: Mr. Mrs. Ms. __________________________________________________
(Circle One) (Print full legal name)
2. Are you registered to vote in Calhoun County, Alabama? _____ Yes _____ No
3. Where do you vote? ________________________________________________________
(Name of voting place or precinct number-Call BOR to verify)
4. Home Address: _____________________________________________________________
____________________________________________________________
5. Mailing Address, if different from #4: ___________________________________________
___________________________________________________________
6. Date of Birth: ______________________
7. Phone Numbers: work: ________________________ home: ____________________
8. Alabama Driver License Number: ______________________________________________
9. Have you ever been convicted of a crime other than a traffic violation? ____ Yes ____ No
10. Are you currently a Notary Public? _____ Yes _____ No
If yes, expiration date of current commission? __________________________________
11. _________________________________________________________________________
Print name exactly as it is to appear on Notary Commission
(Name on surety bond and Notary Commission must be same)
12. Signature of Applicant: _____________________________________________________
Instructions to applicant: In addition to your completed application, Act 2011-295 requires that
you submit a bond in the amount of $25,000. This Court does not accept property bonds.
Submit your application and your surety bond for approval. The Probate Office will process your
application XSRQVXEPLVVLRQRIDOOUHTXLUHGGRFXPHQWDWLRQDQGSD\PHQWRIIHHV.
You are not authorized to perform any notary act until you have received your Notary
Commission. A Notary Public is required by law to maintain a seal of office. Please refer to
Notary laws of the State of Alabama for further advisement.
Filing fee/ Cost due to Judge of Probate to process application: $34.00
(print or type unless signature is requested)
STATE OF ALABAMA
CALHOUN COUNTY
To: Alice K. Martin, Judge of Probate
I, _____________________________________________________________, residing at ______________________________________
_____________________________________________________________, being a legal resident of Calhoun County do
hereby apply for commission for Notary Public in and for said State At Large.
I hereby submit a surety bond, in the amount of $25,000, pursuant to Act No. 2011-295.
Said surety bond was purchased through _________________________________________________________________
surety bond company. I request approval so that I may perform the duties of a Notary Public,
pursuant and in accordance with the laws of the State of Alabama.
___________________________________
Signature of Applicant
___________________________________
___________________________________
Address of Applicant
Application approved and commission granted this ___________day of_____________________________, 20_____.
____________________________________________
Judge of Probate
Date of Appointment: _________________________
Commissioned: _________________________
Expiration Date: _________________________
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