Fillable Form Sos/np-30 - California Notary Application

Instructions for Notary Public Application

Read all instructions and information carefully. Type or print in blue or black ink. Questions regarding this application should be directed to

the Notary Public Section at (916) 653-3595. Only your official signature should be written, all other information should be typed or printed

legibly. You are required to complete all applicable items before you will be issued a commission. Obtain any information necessary to complete

the application before you arrive at the examination site. You must attach a 2” x 2” color passport photograph of yourself to this application.

1. Enter your social security number. You must provide your social security number pursuant to California Family Code section 17520(d).

2. Enter the month, day and year of your birth.

3. Enter your driver’s license number or, if you do not have a driver’s license, enter your California identification number. (Optional)

4. Enter your full name – first, middle, last, and suffix (Sr., Jr., III, etc.), if applicable. The name entered must be your first, middle and last

name. You may not alter your last name in any way. It will be used for identification purposes and must match your picture identification

used for entry to the examination. If you do not have a middle name, enter “NMN” in the appropriate space. If your first or middle name

consists of an initial only, enter “Initial Only” following the initial. Note: This name is public information and will be provided to the

public upon request.

5. Enter the name of the business or, if you do not work for a business or do not have a business name, enter “Self employed” or “Self.”

Enter the telephone number of your principal place of business. Your telephone number is optional.

6. Enter the street address of your principal place of business where you will perform 50% or more of your notary public duties. Do not

enter a P.O. Box number.

Enter the city and zip code of your business location address. Do not abbreviate the name of the city.

Enter the name of the county where your principal place of business is located to ensure your commission is issued for the correct

county. Do not abbreviate the name of the county.

Note: This address is public information and will be provided to the public upon request.

7. Enter the address where you would like to receive notary public information if different from Item 6. Notary public commissions will be

mailed to this address if different from Item 6. The mailing address may be a P.O. Box. Note: This address is public information

and will be provided to the public upon request.

8. Enter your residence address. Do not enter a P.O. Box number. Note: This address will be provided to the public upon request.

9. Enter the vendor number and date the course was completed. Staple your notary public education Proof of Completion certificate to

this application.

10. You must be a legal resident of California in order to qualify to become a notary public pursuant to California Government Code section

8201, except as otherwise provided in California Government Code section 8203.1.

11. If you are not a U.S. citizen, enter your Alien Registration or USCIS Number in the space provided along with the prefix “A” for both

numbers. A work permit, visa, investor’s visa, etc. does not meet this requirement.

12. Enter any other name(s) e.g., maiden name, prior married name, name used prior to U.S. citizenship, etc.

13. If yes, you must provide the information in Item 16. Your application will be rejected if you do not provide the information.

14. If yes, indicate in Item 16 the type of license, the name under which it was issued, the date and reason of the revocation, denial,

suspension, restriction, or resignation, and the name and address of the licensing agency. (Do not include driver’s license.)

15. If Yes, disclose in Item 16 of this application the date and place where arrested or cited, whether the conviction was for a misdemeanor

or a felony, the name of court and court case number, the code section of the violation and/or a brief description of the offense, and the

sentence imposed. Also, include the date you were released from probation, parole, or incarceration. DUIs must be disclosed. You must

disclose any criminal charges pending in any court of law. Your application will be rejected if you fail to provide the information in Item

16. To determine whether you have a conviction that may disqualify you from obtaining a notary public commission, refer to the

disciplinary guidelines for a list of the most common disqualifying convictions. You may access the disciplinary guidelines through the

Secretary of State website at , or you may obtain a copy by calling the Notary Public Section at (916)

653-3595.

Note:

All convictions must be disclosed, regardless of when or where they occurred, and even if you disclosed the conviction on a previous application

for a notary public commission. Convictions that have been dismissed or expunged also must be disclosed, regardless of the basis for expungement,

including pursuant to Penal Code sections 1203.4 or 1203.4a. The only exceptions are traffic infractions, offenses adjudicated in a juvenile court or

under a youthful offender law, and any incident that has been sealed under Welfare and Institutions Code section 781 or Penal Code section 1203.45

(juvenile offenses). The Secretary of State does not refer to previous notary public applications for conviction information.

17. If you currently hold a commission, or have held a prior commission, enter the name exactly as shown on your most recent commission,

the commission number of your most recent commission, and the expiration date of your most recent commission.

18. Type or print your name exactly as you want it on your commission. The first and middle names listed may include initials; however, a

full last name is required. Also, titles or quotes are not acceptable.

. Note: Your last name as listed in Items 4 and 18 must match. You will be

required to present identification to the county clerk when you file your oath and bond that must substantially match the requested official notary public

name shown.

19. This application is signed under penalty of perjury. Enter the state, county and city (or unincorporated area) where the application was

signed and enter the date it was signed. This official signature must be used by you for all official notarial acts.

Privacy Notification

Civil Code section 1798 et seq. requires each state agency to provide this notice to individuals completing this application. This information is being requested

by the Secretary of State’s office, Notary Public Section, P.O. Box 942877, Sacramento, California 94277-0001, Telephone (916) 653-3595. Application

information and fingerprints are requested as authorized by California Government Code section 8201.1. The principal purposes for this information are: 1. to

determine the fitness of persons to serve in the capacity of notary public; 2. to determine if any disqualifying crimes have been committed by applicants; and 3.

to enable the Secretary of State to carry out the duties required by law. Information on this form filed by the applicant with the Secretary of State, except for the

name and address, is confidential and no individual record shall be divulged by an employee having access to it to any person other than the applicant, his/her

authorized representative, or an employee or officer of the federal government, the state government, or a local agency, as defined in California Government

Code section 6252(b), acting in his/her official capacity. The names and addresses listed in Items 4,6,7,8, and 18 are public information and will be

provided to the public upon request.