Form 2301 - Application For Appointment As A Texas Notary Public, Notary Public Errors & Omissions Insurance Policy

Download a blank fillable Form 2301 - Application For Appointment As A Texas Notary Public, Notary Public Errors & Omissions Insurance Policy in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 2301 - Application For Appointment As A Texas Notary Public, Notary Public Errors & Omissions Insurance Policy with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

APPLICATION FOR APPOINTMENT AS A TEXAS NOTARY PUBLIC

Bond Number

DO NOT STAPLE

Type or Print Using Black Ink Only!

DO NOT STAPLE

THIS APPLICATION MUST BE ONE PAGE, FRONT AND BACK

NOTAPPL 09/2003

(THIS AREA FOR SEC. OF STATE USE ONLY)

(1) SOCIAL SECURITY #: ____________-___________-____________*

(2) NAME TO BE USED AS A NOTARY PUBLIC:

___________________________________________________________

(LAST)

(FIRST)

(MIDDLE)

(SUFFIX)

(3) MAILING ADDRESS:

_____________________________________________________________________________________________________________

(STREET ADDRESS/RURAL ROUTE)

(CITY)

(STATE)

(ZIP CODE)

(4) RESIDENCE COUNTY:_____________________________

(5) DATE OF BIRTH: _________________________________

(Month/Day/Year)

(6) a. TEXAS 8 DIGIT DRIVER’ S LICENSE # OR TEXAS ID#:_____________________________

_________________________ STATE: ____________________

OR DRIVERS LICENSE # ISSUED FROM ANOTHER STATE: #

(7)

YES

NO IS THIS A RENEWAL?

(The commission must currently be in effect for this to apply)

(a)

If YES, give date your current commission expires ___________________________

(Month/Day/Year)

DO NOT SUBMIT IF YOU HAVE MORE THAN 90 DAYS REMAINING ON YOUR CURRENT TERM

(b)

Name in which your present commission was issued_________________________________________________

(8)

YES

NO HAVE YOU EVER BEEN CONVICTED OF A FELONY OR A CRIME INVOLVING MORAL TURPITUDE,

OR, IF THIS IS A RENEWAL, HAS THERE BEEN ANY CONVICTION SINCE YOUR LAST APPOINTMENT?

YES, submit a copy of the final conviction and a statement of the facts, if any, regarding restoration of citizenship rights. APPLICATIONS ARE

SUBJECT TO BACKGROUND INVESTIGATIONS.

(9)

YES

NO ARE YOU A LEGAL RESIDENT OF TEXAS?

I hereby apply for appointment as a Notary Public in the State of Texas, and certify that the information herein provided is true and correct and that I am not disqualified by law

or any other reason from holding the office of Notary Public.

x______________________________________________________

SIGNATURE OF APPLICANT

SIGNATURE ABOVE AND NAME #(2) MUST MATCH

========================================================================================================================

INFORMATION

*The disclosure of your social security number is mandatory. Its solicitation is authorized by Chapter 406 of the Government Code and it is used to maintain

accuracy of the notary records.

ELIGIBILITY: To hold the office of Notary Public an applicant must be at least 18 years of age and a legal resident of the State of Texas and must not have been

convicted of a felony or crime involving moral turpitude.

NAME TO BE USED AS A NOTARY PUBLIC: When asked in #2 to provide the name to be used as a Notary Public, you should enter the name exactly as you intend

to sign documents when acting as a Notary Public. Your commission will be issued in the name you choose. The name can be the full legal name or any variation

thereof. For instance, if your full legal name is Gloria Ann Smith, you may choose to qualify as a Notary Public under the name Gloria A. Smith. There is not a

statutory requirement that you use your full legal name. However, when signing as a Notary Public, you may use only the name under which you qualified. Some

examples of a commonly used Suffix are: Sr., Jr., III.

CRIMINAL CONVICTION: A criminal conviction does not automatically render you ineligible to hold the office of Notary Public. The application will be

reviewed to make a determination on whether the applicant is eligible to become a Notary Public.

You may request copies of any information this office collects

about you, and you are entitled to have incorrect information corrected.

SIGNATURE: For Signature of Applicant you must sign in the name you will use when acting as a Notary Public. For instance, if you print the name Gloria A.

Smith in #(2), you must sign Gloria A. Smith for Signature of Applicant.

QUESTIONS: Any questions concerning the completion of the application may be directed to the Notary Public Unit at (512) 463-5705.