Application For Appointment As Notary Public For Baldwin County
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APPLICATION FOR APPOINTMENT AS NOTARY PUBLIC FOR BALDWIN COUNTY
Must be a resident and at least 19 years of age
_____________
____________
Date:
Date of Birth:
mm/dd/yyyy
_______________________________________________________________
Name:
Enter name as shown on voter’s registration
Address 1:
___________________________________________________________
Mailing Address
___________________________________________________________
Address 2:
Physical Address
Phone:
________________
Social Security No:
_________
Home
Last 4 digits
________
How long at current address?
If less than six (6) months, please list
previous address below.
_____________________________________________________
Previous Address:
Employer:
____________________________________________________________
Address:
_____________________________________________________________
Business
________________
Phone:
Business
I hereby make application as Notary Public and state reason.
If this is mandatory for business purposes, please include letter from employer.
Please indicate one:
*
New
Renewal
______________________________________
County and Expiration Date
*
Renewal Applications not accepted prior to 45 days of expiration date.
*
I am a qualified resident of Baldwin County, AL and I enclose verification.
2 Forms of ID Required with Name and Physical Address
(Photo ID and 1 other type).
*
I am a registered voter in Baldwin County and all information is current with
_____________________
the Board of Registrars, and I vote in Precinct/Location:
Have you ever been convicted of a felony in any state?
No or
Yes, if yes, please attach a detailed explanation on a separate page.
__________________________________________________________
Print Name:
Printed Name
Signed Name:
_________________________________________________________
Signature
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