Fillable Alaska Notary Commission Application printable pdf download

Alaska Notary Commission Application

1. _______________________________________________________________________________________________________

Print your name exactly as you will sign your notarizations, and as it will appear on your notary seal and commission certificate

2. _______________________________________________________________________________________________________

Print your full name (First, Middle, Last)

3. Information about your most recent Alaska notary commission (if applicable)

Name (if different than what you entered in #1/2 above)__________________________________________________________

Prior Commission Number ____________________________________________________________________________

Prior Commission Expiration Date___________________________________________________________________________

4. _______________________________________________________________________________________________________

Name of the city where you will perform most of your notarizations

5. Applicant’s Personal Contact Information:

Email _________________________________________________________________________________________________

Telephone _____________________________________________________________________________________________

Cell Phone _____________________________________________________________________________________________

Fax___________________________________________________________________________________________________

Applicant’s Publicly Available Mailing Address:

_______________________________________________________________________________________________________

Applicant’s Residence Address (No P.O. Boxes):

_______________________________________________________________________________________________________

8. _______________________________________________________________________________________________________

Applicant’s Employer/Business Name

9. _______________________________________________________________________________________________________

Employer/Business phone number at the location where you work

10. _______________________________________________________________________________________________________

Employer/Business complete physical address at the location where you work (No P.O. Boxes)

03/10/09

Alaska Notary Commission Application