Notary Renewal Application Form

NOTARY RENEWAL APPLICATION FORM

This Notary Renewal Application is submitted by Applicant Name: , who currently holds Commission Number: , commissioned in County: , with current commission expiration date: .

Recitals

WHEREAS, Applicant is a duly commissioned Notary Public and seeks to renew the notarial commission to continue performing notarial acts within the jurisdiction identified above.

WHEREAS, renewal requires Applicant to attest to eligibility, provide evidence of required bond and oath where applicable, and submit payment of the prescribed renewal fee.

WHEREAS, Applicant affirms that all information provided in this renewal application is true and complete and acknowledges that false statements may subject the Applicant to penalties under applicable law.

NOW THEREFORE

In consideration of the renewal of Applicant's commission, Applicant submits the following information and certifies compliance with the statutory requirements for notarial commissions.

1. Applicant Contact Information

2. Commission Details

Commission Type: Individual Notary Notary Signing Agent Deputy/Other

3. Eligibility and Disclosures

Has Applicant been convicted of a felony or deferred adjudication for a felony since the last commission was issued? No Yes

Has Applicant been subject to administrative disciplinary action relating to notarial acts since the last commission? No Yes

4. Fees and Payment

Renewal Fee Amount:

Payment Method: Check/Money Order Credit/Debit Card Other

5. Certification and Attestation

I, the Applicant, certify under penalty of perjury under the laws of the applicable jurisdiction that the information contained in this application is true, complete and correct. Applicant authorizes verification of any information provided, including but not limited to background checks and confirmation of bond and prior disciplinary history.

Applicant further acknowledges that engaging in false or misleading statements may result in denial of renewal, revocation of commission, fines, or other disciplinary action pursuant to applicable statute and regulation.

6. Notices

All notices or communications regarding this application shall be sent to the mailing address provided above or to the email address provided by Applicant. Applicant is responsible for notifying the commissioning authority of any change of address or contact information during the pendency of the application.

7. Miscellaneous Provisions

Governing Law: This application and any commission issued pursuant to it shall be governed by and construed in accordance with the laws of the jurisdiction that issues the notarial commission, without regard to conflicts of law principles.

Entire Agreement: This application, together with any bond, oath, or supporting documentation submitted, constitutes the entire agreement between Applicant and the commissioning authority with respect to the renewal of the commission and supersedes all prior communications and proposals.

Severability: If any provision of this application is determined to be invalid or unenforceable, that determination shall not affect the remaining provisions, which shall remain in full force and effect.

Amendments and Waiver: No amendment or waiver of any provision of this application shall be effective unless in writing and signed by the Applicant and an authorized representative of the commissioning authority.

8. Applicant Acknowledgment

By signing below, Applicant affirms that Applicant has read and understands the obligations and duties of a Notary Public, will comply with all statutory requirements and rules governing notarial acts, and will maintain any required bond during the period of commission.

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