PAUL D. PATE
Instructions for Application for
Secretary of State
Appointment as Notary Public
State of Iowa
Incomplete or incorrect applications will be returned. A notary commission for a resident is 3 years; nonresident is 1 year.
information on this application changes during the duration of the commission, the Secretary of State must be notified within 30 days of the
change. Records of Iowa notaries are public records.
1. Applicant’s Name:
Documents must be notarized using the name that appears on the commission (e.g. if a middle initial is provided
on this form, it must be included during notarizations). A stamp or seal must be used when notarizing documents. The name on the
stamp or seal must be identical to the name that appears on the notary’s commission.
2. Applicant’s Home Contact Information:
Provide complete home address, phone number, and email address.
3. Applicant’s Employer Contact Information:
Provide name of applicant’s employer, employer’s complete address, applicant’s work
phone number, and work email address.
4. Preferred Contact Method: Check box to indicate applicant’s preferred contact method. If box is not checked, home address will be
designated. If applicant has provided business contact information different from home contact information, applicant may opt to shield
home contact information from display on the Secretary of State’s Web site. Check box to indicate if applicant would like to exercise this
Check boxes to indicate whether applicant meets all the requirements as stated in Iowa Code section
administrative rules in 721-chapter 43, and whether applicant is a resident of Iowa or resident of a state bordering Iowa with place of work
or business within the state of Iowa. If applicant is not a resident of Iowa, print the abbreviation for the bordering state in which the
Applicants filing by paper may obtain a copy of Iowa Code chapter
at the following Web site:
6. Electronic Records –
Effective January 1, 2013:
Check box to indicate whether applicant will be performing notarial acts with
respect to electronic records. If “Yes”, identify the tamper proof technology the applicant intends to use.
8. Bilingual Notary Registry:
Check box to indicate whether applicant wishes to have name placed on a list of bilingual notaries. If
“Yes”, identify the languages in which applicant is fluent. This information is used by notaries and the public for referral
of clients who do
not speak English or have documents in languages other than English which require notarial services.
9. Affirmation and Signature:
Applicant must affirm the statement by signing the completed application.
. Make check payable to SECRETARY OF STATE
DURATION OF COMMISSION: For an Iowa resident, a notary commission is effective for 3 years from the date of commission. For a
resident of a bordering state, a notary commission is effective for 1 year from the date of commission.
If any information contained on this application changes during the term of your notary appointment, you are required to
notify the Secretary of State within 30 days.
Iowa notary public records are available to the public.
Deliver completed application and $30.00 fee to:
SECRETARY OF STATE
Lucas Building, 1
Des Moines, IA 50319
Fax: (515) 242-5953
Notarial Acts for Remotely Located Individuals, which may be downloaded from:
located individuals. If “Yes”, applicant must also submit to the Secretary of State a completed Application for Approval to Perform
7. Remote Notarizations - Effective July 1, 2020:
Check box to indicate whether applicant intends to perform notarial acts for remotely
NOTE: Do not combine this payment with any other types of payments you may be remitting to the Secretary of State.