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This space reserved for SOS use
Form #2301 Rev. 04/2013
If renewing, mark this box
:
Commission Expires:
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)
Last First Middle (not required) Suffix
Social Security No.:
Required by TX Gov’t Code §406
Mailing Address:
(Please notify the secretary of state of an address change within 10 days)
TX
Residence County:
Street City State ZIP CODE
Email address for return of commission (print legibly):
(Your commission will come from notarypubliccommission@sos.state.tx.us and you will NOT receive materials by mail.)
Alternate email address for return of commission (optional):
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 applicant , as principal, and , 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: Address:
Street City State Zip
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, whicheve
r
the case may be, so help me God.
Execution
I declare u nder penalty of perjury that the facts in the foregoing Statement of Officer are t rue. 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:
Signature of Applicant (sign in name given above on line #1 to be used as notary public)
Questions may be directed to the Notary Public Unit at 512-463-5705.
Do not use USA
Travelers Casualty and Surety Company of America
VT688
Huckleberry Notary Bonding Inc Agency
Home Office Mailing P O Box 940489 Maitland FL 32794-0489
Huckleberry Notary Bonding Inc
1-800-422-1555 Scan your order form
and application to info@notaries.com
or fax to (800)224-6368
Do not sign here
