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

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12. Do you have a current notary guidebook?
Yes
No
(N.C. Gen. Stat. § 10A-4 requires that you purchase and keep this as a reference.)
The Notary Public Guidebook may be purchased for $12.72 (including tax, shipping and handling) from:
The Institute of Government
CB#3330 Knapp Building
UNC – Chapel Hill
Chapel Hill, NC 27599-3330
919-966-4119
13. Do any of the following statements apply to you?
Yes
No
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 #3 of the reappointment 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 REAPPOINTMENT
1. An applicant must reside in this state or if nonresident, be employed in this state.
2. An applicant must purchase the most current edition of The Notary Public Guidebook for North Carolina, which is the approved
reference manual by the Secretary of State, that describes the duties, authority, and ethical responsibilities of notaries public.
3. 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.
4. 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).
5. An applicant must be able to read and write English.
6. Please do not submit an application more than 30 days prior to the expiration date of your current commission. Applications
received more than 30 days prior to expiration will be returned.
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 reappointment 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-RA

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