STATE OF MINNESOTA
SECRETARY OF STATE
REMOTE ONLINE NOTARIZATION AUTHORIZATION
Please read the instructions on the back of this form before completing this application.
NO Fee is due for remote online notarization authorization
Effective January 1, 2019, the Minnesota Legislature enacted remote online notarization pursuant to Minnesota Statutes
358 and 359, allowing a notary public who is authorized by the Secretary of State to perform remote online notarial acts.
Before a notary performs a remote online notarization, the notary public must register with the Secretary of State
according to Minnesota Statutes 359.01, Subd. 5, and must certify that the notary intends to use communication
technology that conforms to Minnesota Statutes 358.645, Subd. 2.
Note: A remote online notary public must be physically located in this state to perform a remote online notarial
act.
Term and Termination of Remote Online Authorization Registration: Unless terminated under Minnesota statutes
358.645, the term of registration to perform remote online notarial acts begins on the registration starting date set by the
Secretary of State and continues as long as the notary public’s current notary commission to perform notarial acts
remains valid. A remote online notary whose registration terminates must go online at the Minnesota Secretary of State’s
Notary Public Website at https://notary.sos.state.mn.us to certify compliance with Minnesota Statutes 358.645, Subd. 8.
APPLICANT INFORMATION (please type or print legibly)
FIRST NAME MIDDLE NAME OR INITIAL LAST NAME
RESIDENT STREET ADDRESS (PO Box must include Rural Route or Street Address)
CITY STATE ZIP CODE
DATE OF BIRTH mo/day/yr:
TELEPHONE NUMBER with area code
EMAIL ADDRESS
COUNTY OF RESIDENCE (Required)
IS YOUR COMMISSION RECORDED IN YOUR COUNTY OF RESIDENCE?
By signing the certification statement below, you are certifying that you have filed your notary public commission in the county where you
live, are in possession of proof of filing (receipt or copy) and that you can produce that proof upon request. If you have not filed with your
resident county, you will need to comply with Minnesota Statutes sections 359.061, Subd. 1 and 357.021, Subd. 2 (12) before applying for
remote online notarization authorization.
ORIGINAL COMMISSION NUMBER (Required)
I, certify that the statements in this application are true and complete and that this document has not been altered or changed in any
manner from the form adopted by the Office of the Secretary of State. I certify that I have filed my notary public commission in the
county where I live pursuant to Minnesota Statutes sections 359.061, Subd.1 and 357.021, Subd. 2 (12) before applying for remote
online notarization authorization and can provide proof upon request. I further certify, I intend to use communication technology
pursuant to Minnesota Statutes 358.645.
OATH: I swear or affirm that I will support the constitution of the United States and of this state and to discharge
faithfully the duties of my office to the best of my judgment and ability.
________________________________________________ ___________________________________
Signature of Notary Applicant Date
3/2020
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