Application For Initial Appointment As A North Carolina Notary Public Form

13. Do any of the following statements apply to you?

Yes

If yes, Indicate letter(s) ____________

A. Conviction of a crime involving dishonesty or moral turpitude.

B. Revocation, suspension, or restriction of a notarial commission or professional license by this

or any other state.

C. Engaging in “official misconduct” as that term is defined by N.C. Gen. Stat. § 10A-3(6).

D. Disqualification for office because of Section 8 of Article VI of the Constitution of North Carolina.

(See #6 of the eligibility requirements for details on Article VI, Section 8.)

If you answered “yes” in the above section, please provide the following:

1. A written detailed explanation of the charge(s) against you and the extent of your

involvement.

2. A copy of the court judgement for misdemeanor or felony charge(s).

3. For felony charge(s), attach a copy of your citizenship restoration.

4. Two letters of recommendation from your employer, minister, or another person,

other than a family member, that can provide us a statement as to why these charges

should not prevent you from being re-appointed as a notary.

14. I hereby certify that the above statements are true and correct and that I am aware of my duties and

responsibilities as a notary public for the state of North Carolina.

Signature of applicant: _______________________________________________

NOTARY PUBLIC

(must be the same as entered into box #1)

SEAL HERE

The following is for a notary public to notarize YOUR signature:

Sworn to and subscribed before me this the _____day of _____________

In the year of ______.

___________________________________

NOTARY PUBLIC

___________________________________

COMMISSION EXPIRES

ELIGIBILITY REQUIREMENTS FOR INITIAL APPOINTMENT

1. An applicant must be at least 18 years of age.

2. An applicant must reside in this state or if nonresident, be employed in this state.

3. An applicant must satisfactorily complete a course of study that is approved by the Secretary of State consisting of not less

than three hours nor more than six hours of classroom instruction provided by a community college in North Carolina, unless

the person is a licensed member of the North Carolina Bar.

4. An applicant must purchase and keep as a reference a manual approved by the Secretary of State that describes the duties,

authority, and ethical responsibilities of notaries public.

5. An applicant must submit an application containing no significant misstatement or omission of fact. The application form

shall be provided by the Secretary of State and be available at the Register of Deeds Office in each county. Every application

shall bear the signature of the applicant written in pen and ink, and the signature shall be acknowledged by the applicant

before a person authorized to administer oaths. (Example: Clerk of Court, Register of Deeds, or a Notary Public) The applicant

shall also obtain the recommendation of one publicly elected official in North Carolina whose recommendation shall be contained

on the application.

6. Article VI, Section 8 of the Constitution of North Carolina disqualifies the following persons from holding office: any person

who has been adjudged guilty of treason or any other felony against this state of the United States, or any person who has

been adjudged guilty of a felony in another state that would also be a felony if it had been committed in this state, or any

person who has been adjudged guilty of corruption or malpractice in any office and who has not been restored to the rights

of citizenship in the manner prescribed by law.

7. An applicant must be able to read and write English.

PLEASE NOTE: Please allow approximately three weeks for the processing of applications.

PROCEDURES FOR TAKING OATH: The Notary Public Section will process your application and return to you a transmittal letter through the

mail. After the receipt of the transmittal letter, you will need to go to the Register of Deeds in the county in which the commission is issued to

take the oath of office. The oath must be taken within 90 days of the effective date listed on the transmittal letter. If 90 days lapse before the

oath is taken, a new initial application and $30.00 fee must be resubmitted. Notary appointments are NOT valid until the oath of office is

taken. The oath must be taken with each reappointment commission.

January 2001 NP-IA

Application For Initial Appointment As A North Carolina Notary Public Form - 2001 Page 2

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