ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
OWNER: Cooper D. Allen
Licensed Insurance Agent
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHYSICAL ADDRESS:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS:
P.O. Box 12913
Jackson, MS 39236
PHONE:
8 44.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
PLEASE FOLLOW THESE 2 STEPS:
Note: Incomplete forms will be returned.
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
v 09.14
$125.00
$12.00
$30.00
$12.00
Completed Previously
8.00
$17.00
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
Name on Credit Card: Call for Credit Card Information
Credit Card No.: Expiration Date: CVV No.:
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Bond, and Check or Credit Card information to:
P.O. Box 12913, Jackson, MS 39236
STEP 1: BOND
STEP 2: ORDER FORM
ORDER FORM for New or Renewal Commissions
EMAIL
: stegall@bellsouth.net
WEB
: www.StegallNotaryService.com
PHYSICAL ADDRESS
:
14 Northtown Drive
Jackson, MS 39211
MAILING ADDRESS
:
P.O. Box 12913
Jackson, MS 39236
PHONE
:
800.303.9505
601.957.9505
OWNERS
: J. Earl Stegall
& Maxine W. Stegall,
Licensed Insurance Agents
PLEASE FOLLOW THESE 3 STEPS: Note: Incomplete forms will be returned.
POSTAL SHIPPING TO: PLEASE PRINT CLEARLY. (We ship via U.S. Postal Service)
Name: ______________________________________________________ MS Driver’s License No. _________________________
Name of Business at Mailing Address
(if any): ______________________________________ Bus./Daytime Phone: ___________________
Mailing Address:_________________________________________________________________________________________
City:_____________________________________________ State:_______________________ Zip: ___________________
Complete Notary Application AND have signature NOTARIZED.
Sign “Principal” line at the “X”, and
Sign the Oath of Office at the “X”, and have NOTARIZED.
DO NOT COMPLETE the TOP PORTION of the BOND.
Mark all Items or Kit you wish to order below.
Make check payable to STEGALL NOTARY SERVICE.
Return Order Form, Application, Bond and Check to: P.O. Box 12913, Jackson, MS 39236
YOU COMPLETE 2 STEPS ABOVE, WE WILL HANDLE THE REST.
We will obtain your Notary C o mmissio n, file your Bond with the Secretaryof State and send all your notary supplies to you promptly.
1
2
REQUIRED
$
10,000
Errors & Omissions
Insurance Policy
FREE
with each
Bond Order!
$
$
$
STATE REGULATION:
Effective July 1, 2007, the Secretary of State is requiring
all NEW
& RENEWING Notaries to use a Self-Inking
Seal Stamp containing Name, Residence County,
Expiration Date and State issued ID Number.
Complete Notary Kit ...........
$
133.00
INCLUDES:
$
5000 4-year Surety Bond
State-Required Seal Stamp (self-inking)
MISSISSIPPI Notary Record Book
$20,000 Notary Errors & Omissions Insurance
Shipping & Handling
T
OTA L
S
AVINGS
O
F
$
12.00
Visit our website for pictures & descriptions
www.StegallNotaryService.com
MISSISSIPPI Notary Public
Official Record Book
Beautiful navy blue faux-leather cover
with gold embossed lettering. Offered
exclusively by Stegall Notary Service.
A Stegall Notary Service Exclu siv e!
MISSISSIPPI
OWNED & OPERATED
MISSISSIPPI
OWNED & OPERATED
INDIVIDUAL ITEM DESCRIPTION UNIT PRICE QTY. TOTAL
1. Notary Public Statewide Commission (4-year) $25.00
2. Notary Public Bond
(
$
5000, 4-year Surety)
$45.00
(Includes
$
10,000 Errors
&
Omissions Insurance)
3. State-Required, Self-Inking Seal Stamp (see left)
$25.00
Shows Name, County, Expiration Date and Notary I.D. #
4. Mississippi Notary Official Record Book
$10.00
Required for new Notaries, but not for renewals with a book.
5. COMPLETE NOTARY KIT $143.50
6. Notary Public Errors
&
Omissions Insurance
a.
$
10,000 4-y ear Policy $50.00
b.
$
15,000 4-year Policy $65.00
7. Notary Public Desk Plate
a. Regular $ 7.00
b. Personalized $12.00
8. Jurat Stamp
a. Rubber Stamp $ 9.00
b. Self-Inking Stamp $20.00
SUBTOTAL
Shipping
& Handling 7.00
TOTAL REM ITTANCE
total includes s&h
Required by Law
THIS FORM is FOR THOSE WHO HAVE ALREADY APPLIED to the STATE for a NOTARY PUBLIC COMMISSION.
We will execute and file your Notary Bond with the Secretary of State and send all your notary supplies to you promptly.
Notary ID #: Email Address:
