Application For Notary Public Form - Arkansas Secretary Of State

ADVERTISEMENT

Arkansas Secre t a ry of State
Charlie Daniels
State Capitol • Little Rock, Arkansas 72201-1094
501-682-3409 •
Business & Commercial Services, 250 Victory Building, 1401 W. Capitol, Little Rock
Instructions:
Return to the Arkansas Secretary of State the following materials:
Completed Application Certificate to be completed by notary or other authorized official other than yourself
$20.00 application fee, Check or money order made payable to Secretary of State
Copy of surety bond or contract. The bond may be purchased from a bond or insurance company of your
choice. Enclose a copy of the actual bond and not the application for the bond.
Name: Each time your name appears, it must be exactly the same as the name on your bond.
Application for Notary Public
I, ________________________________ state that I am:
(Print or type name as printed on your bond)
•A bona fide citizen of the United States or a permanent resident alien (recorded Declaration of
Domicile attached);
• A legal resident of Arkansas or of an adjoining state and employed in Arkansas;
• 18 years of age or older;
• Able to read and write English; and
• That during the past 10 years have not had my commission as a notary revoked.
______________________________________________________________________________________________________________________
Address of Residence (No Post Office Box)
City
State
Zip
County
_______________________________________________________________________________
Address of Employment, if not Arkansas Resident
City
State
Zip
County
:
Address to which you would like your commission and oath mailed, if different from above
_______________________________________________________________________________
Address
City
State
Zip
Now therefore, I respectfully make application as an Arkansas Notary Public for a commission of 10
years and further state under oath that the information contained in this application is true and com-
plete.
_________________________
________
____________________________________
(Signature as printed on your bond)
Date
Commission number (if applicable for renewing notaries)
Certificate
State of Arkansas
County of _________________
Subscribed and sworn to before me on the _______ day of_________________, _________.
___________________________________
Signature of Notary Public or other authorized official

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go