This space reserved for SOS use
APPLICATION FOR APPOINTMENT AS
TEXAS NOTARY PUBLIC
If renewing, mark this box
:
Commission Expires: / /
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)
Street Suite or Apt. No. City
TX
State Zip
Residence County:
Email address for return of commission (Legible):
(Your commission will come from notarypubliccommission@sos.state.tx.us 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, circu
mstances, 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
succ
heirs, exec
d
licensed to do business in the state of Texas, are held and firmly bound unto the governor of t
he state of Texas and to his/her
essors in office, in the sum of TEN THOUSAND DOLLARS for the payment of which, well and truly be made we bind ourselves, our
utors and administrators jointly and severally. As a condition of this bond, the above-named principal shall faithfully perform all
uties of the office of notary public. BOND NUMBER:
Agency Name: Address:
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:
Signature of Applicant (sign in name given above on line #1 to be used as notary public)
Form 2301
2
Questions may be directed to the Notary Public Unit at 512-463-5705.
Form #2301 Rev. 01/2019
Return To:
American Association of Notaries, Inc.
P.O. Box 630601
Houston, TX 77263
Western Surety Company
American Assoc. of Notaries, Inc.
8811 Westheimer, Suite 207 Houston, TX 77063
X
How to Complete Your Notary Application
All applications will be reviewed for accuracy before being
electronically filed with the Secretary of State.
If you have any questions, please call us toll-free at 1-800-721-BOND (2663)
Bonds and errors and omissions insurance policies provided by this insurance agency, American Association of Notaries, Inc., are underwritten by Western Surety Company (established 1900).
American Association of Notaries is owned by Kal Tabbara, a licensed insurance agent in Texas.
WEB INST. 04-2019-2
This space reserved for SOS use
APPLICATION FOR APPOINTMENT AS
TEXAS NOTARY PUBLIC
If renewing, mark this box
:
Commission Expires: / /
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)
Street Suite or Apt. No. City
TX
State Zip
Residence County:
Email address for return of commission (Legible):
(Your commission will come from notarypubliccommission@sos.state.tx.us 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 applicant , as principal, and , as surety, a corporation
duly
succ
heirs, exec
d
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
essors in office, in the sum of TEN THOUSAND DOLLARS for the payment of which, well and truly be made we bind ourselves, our
utors and administrators jointly and severally. As a condition of this bond, the above-named principal shall faithfully perform all
uties of the office of notary public. BOND NUMBER:
Agency Name: Address:
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:
Signature of Applicant (sign in name given above on line #1 to be used as notary public)
Form 2301
2
Questions may be directed to the Notary Public Unit at 512-463-5705.
Form #2301 Rev. 01/2019
Return To:
American Association of Notaries, Inc.
P.O. Box 630601
Houston, TX 77263
Western Surety Company
American Assoc. of Notaries, Inc.
8811 Westheimer, Suite 207 Houston, TX 77063
X
111 11 1111
Your Address
Your County
Number from Your
Driver’s License
Sign your name
Your social security number is
required in this field. It is used by
the State to maintain the accuracy
of notary records, but your social
security and driver’s license
numbers will not be made public.
TX
M M/DD/YYYY
M M/DD/YYYY
M M DD YYYY
The notary public application is a
public record that is subject to
public access and disclosure. If
privacy concerns are an issue, you
can use a business or a mailing
address rather than a residence
address.
X
Date and sign the
Statement of Officer section.
American Association of Notaries
12345
Your commission will be issued in
the name that you type or print in
this field. You can use your full legal
name or a shortened version that
you prefer to use. For example, if
your full legal name is Gloria Ann
Smith, you may choose to register
as a notary public under the name
Gloria A. Smith, Gloria Smith
or G.A. Smith.
Provide an email address to make
sure you will receive your notary
commission certificate and the
oath of office in a timely manner
via email.
Leave this section blank.
It will be completed by the
American Association of Notaries
as your bonding agency.
Doe John
If you have been found guilty of
a crime, you must attach to your
application documentation
regarding your criminal convictions
to assist the Secretary of State’s
office in determining qualification.
Processing time for applications
with criminal convictions is
approximately four to six weeks.
American Association of Notaries
®
8811 Westheimer, Suite 207 Houston, Texas 77063
1
-800-721-2663 www.texasnotary.com info@texasnotary.com
1
Mail your
application to:
AAN
P.O. BOX 630601
Houston, Texas 77263
3
Fax your
application
to AAN at:
1-800-721
-2664
2
Email your
application
to AAN at:
sales@texasnotary.com
TEXAS NOTARY APPLICATION ORDER FORM (NEW)
American Association of Notaries
8811 Westheimer, Suite 207 Houston, TX 77063
Notary Package 1
*
Includes:
4-Year, $10,000 Notary Bond* $ 50.00
State Filing Fee $ 21.00
Self-Inking Stamp
(Select option 1 or 2)
$ 19.95
Notary Record Book
(Item #701)
$ 9.95
Texas Notary Law Manual
(TX 804)
$ 12.95
$ Emailed in PDF Format
One-year Membership to AAN $ 19.00
Bonds and errors and omissions insurance policies provided by this insurance agency, American Association of Notaries, Inc., are
underwritten by Western Surety Company (established 1900). American Association of Notaries is owned by Kal Tabbara, a licensed insurance agent in Texas.
Copyright © 2019 American Association of Notaries, Inc. All Rights Reserved.
COUPON
* Package 1 is available excluding the bond
for $39.95 plus $6.95 for shipping.
Bond can be purchased separately for $50. Requests for refunds on all incomplete
orders must be in writing. Forms of payment and restrictions apply. Call for details.
AAN TXAPN 0119-1
Name as it appears on your commission certificate*
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Commission expiration date (mm/dd/yyyy)* _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
*New applicants: Enter your name as it appears on your application. Leave
expiration date blank.
Shipping Information:
Your shipment contains valuable items. Please choose
a work street address where someone will be available to sign for your delivery.
Company Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
City _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
State _______________________________ Zip _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Daytime Phone Number ( ____ ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Email Address ____________________________________________
AAN Membership/Account No.
(if available)
_______________________
Form of Payment
Mail to: PO BOX 630601 • Houston, TX 77263
Check enclosed payable to
American Association of Notaries
Check No. ______________
Please charge my credit card account:
Expiration Date:
Customer Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Billing Zip Code _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1-800-721-2663 Fax: 1-800-721-2664
Email: sales@texasnotary.com
www.texasnotary.com
Office Hours: 9am – 5pm CST
ITEM # DESCRIPTION PRICE QUANTITY COST
NP1 Notary Package 1* $89.95 ______ ________
Use the space below to order additional notary supplies
_____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________ ______ ________
_____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________ ______ ________
_____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________ ______ ________
_____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________ ______ ________
_____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________ ______ ________
Add 4-Year Errors and Omissions Insurance Policy
(Optional)
______ ________
$5,000 -
$21.24
$30,000 -
$56.75
$10,000 -
$34.00
$35,000 -
$62.00
Sub-total
$
__________
$15,000 -
$42.50
$50,000 -
$102.00
USPS Shipping
$
__________
$25,000 -
$51.00
$100,000 -
$204.00
Sales Tax
$_
_________
TOTAL
$
__________
Indicate Your Choice Of:
Type in any special instructions regarding shipping, stamp manufacturing, or other special needs.
$
6.95
Included
Please add
an additional
$
7.00 for
UPS Ground
delivery.
*
NOTE: If no stamp case or ink color is selected you, will receive a gray case and black ink.
A Total Value of $132.85
YOUR COST
$
89.95
Mail your completed application
and order form to:
AAN
P.O. BOX 630601
Houston, Texas 77263
1
()
Choose Self-inking Notary Stamp Case Color
OPTION 1
OPTION 2
Trodat Printy 4.0-4913 Notary Stamp - Item #201
7/8” x 2
3
/8
Lilac
Apple
Gr
een
Fuchsia
Pink
Artic White
Eco Black
Flame
Red
Eco Gray
Mint
Mango
Sky Blue
Light
Pink
Violet
Pink
Green
Red
Purple
Black
Gray
Mint
Orange
Blue
Yellow
Violet
Cosco Self-inking Stamp
with Microban
®
Anti-microbial Additive
Item #210
2
() Indicate choice of stamp ink color:
black
blue
red
purple
gree
n