Application For Notary Public Commission Renewal Form Page 2

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IV. APPOINTMENT OF NOTARY BY CLERK OF SUPERIOR COURT
Having read and considered the application of this applicant and it appearing that the above-named applicant has met the requirements to be appointed
a notary public, it is hereby ordered that applicant is hereby appointed pursuant to O.C.G.A. section 45-17-2.4 a notary public for a four year term
beginning on the date specified, upon his/her taking and subscribing the oath prescribed by law.
Term of Appointment
Beginning
Ending
Clerk/Deputy Clerk of Superior Court
V. OATH OF OFFICE
Georgia, ______________________________ County
I, the undersigned applicant for a notary public commission, do solemnly swear/affirm that I will well and truly perform the duties of a notary public
to the best of my ability; and I further swear/affirm that I am not the holder of any public money belonging to the state and unaccounted for, so help
me God.
Date:
Signature of Applicant
Sworn and subscribed before me on the date written.
Date:
Clerk/Deputy Clerk of Superior Court
VI. E-MAIL ADDRESS
Optional e-mail address to be displayed on the Notary Search: ________________________________________________________
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