INSTRUCTIONS FOR COMPLETING TEXAS NOTARY APPLICATION
This space reserved for SOS use
APPLICATION FOR APPOINTMENT AS
TEXAS NOTARY PUBLIC
Identifying Information
Please Type or Print Legibly
Name to be used as notary public: (This is the name you will be required to sign when notarizing.) Social Security No.:
Last First Middle (not required) Suffix Required by TX Gov’t Code §406
Mailing Address: (Please notify the secretary of state of an address change within 10 days) Residence County:
Street Suite or Apt. No. City State Zip
Email address for return of commission (Legible):
(Your commission will come from notarypubliccommission@sos.texas.gov and you will NOT receive materials by mail.)
Date of Birth: Driver’s License or Identification No.: Issuing state:
Statements Relating To Qualification
I, the above-named applicant
, have never been convicted of a felony or crime involving moral turpitude, am at least 18 years of
age and a legal resident of Texas. {All applications are subject to a background check.}
Please select one of the following:
A. I have been found guilty of a crime other than a class C misdemeanor. (Applicants selecting this option must attach the
following for each crime: (1) copies of court order and sentence, and papers pertaining to release from probation; and (2) a
statement of (i) the nature, circumstances, date, and location, and (ii) whether the case is on appeal.) {A conviction for a crime
involving moral turpitude OR a FELONY disqualifies you from appointment as a notary public under Texas law.}
B. I have never been found guilty of a crime OR I have only been found guilty of a Class C misdemeanor, e.g. minor traffic
violations such as speeding.
Notary Public Surety Bond
(This space reserved for agency/bonding company)
KNOW ALL PERSONS BY THESE PRESENTS:
That we, the above-named applican
t, as principal, and Universal Surety of America, as surety, a corporation duly licensed to do
business in the state of Texas, are held and firmly bound unto the governor of the state of Texas and to his/her successors in office, in
the sum of TEN THOUSAND DOLLARS for the payment of which, well and truly be made we bind ourselves, our heirs, executors
and administrators jointly and severally. As a condition of this bond, the above-named principal shall faithfully perform all duties of
the office of notary public. BOND NUMBER:
Agency Name: Notary Public Underwriters Agency of Texas Address: PO Box 7457 Tallahassee, FL 32314-7457
Date:
Signature of authorized person for surety
Statement of Officer
I, the above-named applicant
, do solemnly swear (or affirm) that I have not directly or indirectly paid, offered, promised to pay,
contributed, or promised to contribute any money or thing of value, or promised any public office or employment for the giving or
withholding of a vote at the election at which I was elected or as a reward to secure my appointment or confirmation, whichever the
case may be, so help me God.
Execution
I declare under penalty of perjury that the facts in the foregoing Statement of Officer are true. I further certify that the information
provided in and with this Application is true and correct and that I am not disqualified by law or any other reason from holding the
office of notary public. I agree to be bound by the terms and conditions of the incorporated surety bond.
Date:
X
Signature of Applicant (sign in name given above on line #1 to be used as notary public)
Form 2301
TX
- -
/ /
TX-02
If renewing, mark this box
Commission Expires:
/ /
123 45 6789
RANDALL1623 LAMAR ROAD CANYON 78015
THOMPSON DONNA
09 19 1979 04597417
X
TX
06/10/2021
DTHOMPSON@DTENTERPRISE.COM
STEP 1
➤
APPLICATION
Type or print your social security number.*
Type or print your name exactly as you intend to sign documents as
a notary public. You do not need to use your full name. Examples of
suffix include: Jr., Sr., III, etc.
Mailing address can be your home or business address.
Enter your email address for your commission and oath to be
delivered electronically from the Secretary of State.
If you do not have a Texas Driver’s License, type or print the
number of your Texas ID Card or the number from your other state
issued ID.
As a reminder, if you have been found guilty of a crime, you must
submit proper documentation to assist the Secretary of State’s
Notary Unit in determining qualification. PLEASE NOTE: the
processing time is approximately 4-6 weeks.
BOND
Leave this section blank. We will complete your bond and deliver it
to the Secretary of State for processing.
STATEMENT OF OFFICER
Date and sign the Statement of Officer at the RED (X) exactly as
name appears above. DO NOT HAVE THIS FORM
NOTARIZED
.
STEP 2
➤
ORDER FORM
Select a notary package and indicate your stamp color where applicable. Select additional supplies you wish to purchase
and total your order.
STEP 3
➤
PAYMENT
Mail the completed forms with a credit card number, check, or money order made payable to NOTARY PUBLIC UNDERWRITERS
AGENCY OF TEXAS in the enclosed envelope. Any questions? Contact us at 1.800.821.0822 or info.tx@npuonline.com and we will be
glad to help.
Because you will be handling
very important documents you
are vulnerable to lawsuits. With
Errors & Omissions insurance,
you will be protected against
liability the entire term of your
commission.
WHO PROTECTS YOU?
The Required Notary Bond Protects the Public.
Errors & Omissions Protects You!
*The disclosure of your social security number is mandatory. Its solicitation is authorized by
Chapter 406 of the Government Code and is used to maintain accuracy of the notary records.
Errors & Omissions is Affordable.
Make Sure You're Covered.
Notary Errors & Omissions policies are
underwritten by Universal Surety of America.
Consider this Actual Case:
A Notary is sued by a property owner
and a bank. She’s done nothing wrong,
but has been deceived by identity
thieves. The lawsuits were settled
rather than enduring prolonged
litigation. An Errors & Omissions
policy would have protected her.
www.NotaryPublicUnderwriters.com
800.821.0822 • info.tx@npuonline.com
