Loyalty Oath Form - Oklahoma Secretary Of State

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_____________________________________________________
LOYALTY OATH FILING
Agency, Authority, Commission, Department or Institution
(51 O.S. §36.3)
________________________________________________________________
WHERE TO FILE:
Address, City and Zip Code
Every state officer shall be filed with the Secretary of State.
________________________________________________________________
Print Name of Officer or Employee
Every state employee shall be filed with the personnel officer of the state entity
employing the state employee.
LOYALTY OATH
(51 O.S., 36.2A)
All other officers shall be filed with the office of the county clerk of the county
of official residence of the officer.
I do solemnly swear (or affirm) that I will support the Constitution
All other employees shall be filed with the office of the county clerk of the
and the laws of the United States of America and the Constitution and
county in which the entity employing the employee is located.
the laws of the State of Oklahoma, and that I will faithfully discharge,
according to the best of my ability, the duties of my office or
Every notary public shall be filed with the office of the court clerk of the
employment during such time as I am
county of official residence of the notary, or if a nonresident, the county of
employment of the notary.
________________________________________________________________
Here put name of office, or if an employee, insert “An employee of________” followed
All municipal officers or employees or school district officers or employees
by the complete designation of the employing officer, agency, authority, commission,
shall be filed in the office of the municipal clerk of the municipality or in the
department or institution.) 51 O.S., 36.2.
office of the school clerk of the school district for which the officer or employee
serves or by which the officer or employee is employed.
_______________________________
Affiant Sign Here
TO ENSURE PROPER FILING:
State of ____________________
Submit only the original oath with original signatures. Photo copies are not
accepted. Type or print clearly in black ink:
County of __________________
1. List the name and address of the entity.
2. Full and correct name of the person taking the oath
Signed and sworn to (or affirmed) before me on this ______day of
3. Name of the office, or if an employee, insert “an employee of_______
followed by the complete designation of the employing officer, agency,
____________ , ______by _______________________________.
authority, commission, department or institution.
Print name of the person taking the oath.
Person taking the oath is the “Affiant”.
______________________________
ATTESTATION OF LOYALTY OATH:
Signature of the Notary
(Seal, if any)
The Loyalty Oath must be signed and dated by a notary public or other officer
______________________________
authorized to administer oaths or affirmations (indicate title and rank, if other
than a notary public) and include the identification of the jurisdiction in which
Title and Rank (if other than a notary)
the act is performed. The notary shall include the name of the individual
making the statement (or taking the oath), the notary seal, expiration date and
My Commission Expires:_______________
commission number.
Commission Number: _________________
Please retain a copy for your records before submitting the oath for filing.
(03/2005)
For additional information, please call 522-4564 or 522-4565.

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