New York State
Department of State
Division of Licensing Services
Notary Public
P.O. BOX 22065
Albany, NY 12201-2065
Customer Service: (518) 474-4429
www.dos.ny.gov
Notary Public Application Instructions
Please read all instructions carefully, as incomplete
applications will be returned. Send these materials to the
address indicated on the reverse side of this application.
Notary Public commissions automatically expire four years from
the effective date. It is important that you notify this division of
any changes in your address so you will continue to receive
renewal notices and other notifications pertinent to your
commission.
Oath of Office Instructions
To qualify for appointment, an oath of office must be signed in the
presence of a commissioned Notary and submitted to the Department
of State with your completed application and $60 fee. An
identification card, stating the effective and expiration dates of your
four-year commission, will be mailed to you directly by the
Department of State.
Application Instructions
1. The name printed in which you wish to be commissioned must
conform exactly to the signature that will be used as a notary
public. Initials may be used, as in John A. Doe or J. Arthur
Doe, but NOT J. Doe or J.A. Doe.
2. The use of a P.O. Box as the only address is not acceptable. A
street address is required. County clerk employees should use
the county clerk address. Non-resident notaries must use the
street address of their New York State business. Please note:
Addresses are subject to disclosure under the Freedom of
Information Law (FOIL). If you do not want your home
address released, you must provide a business address.
3. Examination admission requirements: You must have taken and
passed the NYS Notary Public Examination. Examination results
are only valid for a period of two years. If you are an attorney
who is currently a member of the New York State Bar or a court
clerk of the Unified Court System, appointed to that position
after taking a Civil Service promotional examination in the court
clerk series of titles you are not required to have taken and passed
the examination. Attorneys and court clerks are not exempt from
the application fee.
PRIVACY NOTIFICATION
Do I need to provide my Social Security and federal ID numbers on
the application?
Yes, if you have a social security number or Federal ID number, you are
required to provide this number. If you do not have a social security
number or Federal ID number, please provide a written explanation.
The Department of State is required to collect the federal Social Security
and Employer Identification numbers of all licensees. The authority to
request and maintain such personal information is found in §5 of the Tax
Law and §3-503 of the General Obligations Law. Disclosure by you is
mandatory. The information is collected to enable the Department of
Taxation and Finance to identify individuals, businesses and others who
have been delinquent in filing tax returns or may have underestimated
their tax liabilities and to generally identify persons affected by the taxes
administered by the Commissioner of Taxation and Finance. It will be
used for tax administration purposes and any other purpose authorized by
the Tax Law and may also be used by child support enforcement agencies
or their authorized representatives of this or other states established
pursuant to the Title IV-D of the Social Security Act, to establish, modify
or enforce an order of support, but will not be available to the public. A
written explanation is required where no number is provided. This
information will be maintained in the Licensing Information System by
the Director of Administration and Management, at One Commerce
Plaza, 99 Washington Avenue, Albany, NY 12231-0001.
Return this original application (no photocopies)
along with:
A non-refundable $60 fee. You may pay by check or money order
made payable to the Department of State or charge any fee to
MasterCard or Visa, using a credit card authorization form. Do not
send cash. A $20 fee will be charged for any check returned by
your bank.
(Note: The $60 fee includes the $40 State fee and the $20 County
fee)
Note: This form may not be used to renew your license.
County Clerk Employees Only
You must include a notarized fee exemption statement in lieu of
the fee.
DOS-0033-f-a (Rev. 04/18) page 1 of 2
WOULD YOU LIKE TO REGISTER TO VOTE?
Please visit the NY State Board of Elections at www.elections.ny.gov/votingregister.html
or call 1-800-FOR-VOTE to request a NYS Voter Registration form.
To register online, please visit www.ny.gov/services/register-vote.
