State Of South Dakota Notary Public Application, Oath & Bond Page 2

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Personal Surety Form
Know all by these presents: That we, _______________________________ (Notary applicant’s name),
of the County of __________________________________ and the State of South Dakota, as principal, and
___________________________________ (Personal Surety’s name), County of
,
_______________________________
____________________________________________________________________________ (Address),
State of South Dakota, as surety, are individually held firmly bound unto the State of South Dakota in the penal
sum of five thousand dollars, for the payment of which we hereby jointly and severally bind ourselves, our
heirs, executors, administrators and successors. Further, each of us deposes and says individually that we
are worth $5000, the amount of the bond, over and above our debts and liabilities, in unencumbered property,
exclusive of property exempt from execution and forced sale under the laws of this state.
The conditions of this obligation are such that, if the above principal,
,
______________________________________
who has or will be appointed Notary Public in the State of South Dakota, shall faithfully execute the duties of
the office according to law, then this obligation shall be null and void, otherwise to remain in full force and
effect.
Dated this ________ day of __________________
___________________________________________
Applicant’s Signature
Subscribed and sworn to before me this _________ day of _______________________________________
___________________________________________
(SEAL)
Notary Public
My commission expires: _______________________
Dated this ________ day of __________________
___________________________________________
Personal Surety’s Signature
Subscribed and sworn to before me this _________ day of ________________________________________
___________________________________________
(SEAL)
Notary Public
My commission expires: _______________________
A personal surety is liable for the bond for the six-year commission of the notary.
A personal surety cannot have the personal surety’s name removed from the bond for any
reason.

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