Application For Notary Public Commission Page 2

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IV. ENDORSEMENTS OF APPLICANT
A. Georgia, ______________________________ County
To the Honorable __________________________________________, Clerk of ______________________________ Superior Court:
I, the undersigned, being 18 years of age or older and a legal resident of the stated county, believe the applicant for Notary Public Commission
named herein, who is not related to myself, to be a person of integrity, good moral character, and capable of performing notorial acts. I have known
the applicant for one month or more.
1. Name of Notary Applicant
2. Endorser Information
a. Name
b. Address
c. Phone Number
d. Date
e. Endorser Signature
B. Georgia, ______________________________ County
To the Honorable __________________________________________, Clerk of ______________________________ Superior Court:
I, the undersigned, being 18 years of age or older and a legal resident of the stated county, believe the applicant for Notary Public Commission
named herein, who is not related to myself, to be a person of integrity, good moral character, and capable of performing notorial acts. I have known
the applicant for one month or more.
1. Name of Notary Applicant
2. Endorser Information
a. Name
b. Address
c. Phone Number
d. Date
e. Endorser Signature
V. APPOINTMENT OF NOTARY BY CLERK OF SUPERIOR COURT
Having read and considered the application of this applicant and it appearing that the above-named applicant has met the requirements to be appointed
a notary public, it is hereby ordered that applicant is hereby appointed pursuant to O.C.G.A. section 45-17-2.4 a notary public for a four year term
beginning on the date specified, upon his/her taking and subscribing the oath prescribed by law.
Term of Appointment
Beginning
Ending
Clerk/Deputy Clerk of Superior Court
VI. OATH OF OFFICE
Georgia, ______________________________ County
I, the undersigned applicant for a notary public commission, do solemnly swear/affirm that I will well and truly perform the duties of a notary public
to the best of my ability; and I further swear/affirm that I am not the holder of any public money belonging to the state and unaccounted for, so help
me God.
Date:
Signature of Applicant
Sworn and subscribed before me on the date written.
Date:
Clerk/Deputy Clerk of Superior Court
VII. E-MAIL ADDRESS
Optional e-mail address to be displayed on the Notary Search: ________________________________________________________
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