APPLICATION FOR APPOINTMENT AS NOTARY PUBLIC (State-Wide Application Form for All Counties) Name: (Mr., Ms. or Mrs.) ___________________________________ Date: _________________ Address: ______________________________________________________________________ (Home) (City) (State) (Zip Code) Address: ______________________________________________________________________ (Business) (City) (State) (Zip Code) Telephone Number: _____________________ Social Security Number: _________________ (Home) (Last four digits only) Telephone Number: _____________________ Date of Birth: __________________________ (Business) (mm/dd/yyyy format) Remit to: ADRIAN T. JOHNS, Probate Judge Baldwin County Post Office Box 459 220 Courthouse Square Bay Minette, AL 36507 Dear Sir: I hereby make application for appointment / reappointment Notary Public for the State at Large or Baldwin County (Check one box only) I am a resident of Baldwin County, AL. Age______ I vote in Precinct / Location ____________________________. I am a qualified elector or I am not a qualified elector (Check one box only) Yours very truly, X___________________________________________ (Signature of Applicant) X___________________________________________ (Applicant’s printed name exactly as you wish to sign as a Notary Public) (For Renewal) Applicant’s commission expires on the _____ day of ____________, 20___. Fill out this notary application and return it to: Judge of Probate, Post Office Box 459, Bay Minette, AL 36507, for processing. You must be a resident of Baldwin County to be considered for an appointment to the office of Notary Public and to receive your commission. The application and/or bond and filing fee may be dropped off at either satellite office. It will be forwarded to the Bay Minette office for processing. When we receive and process your application, we will send you a letter of appointment. With your appointment letter in hand, call on your insurance company to purchase at minimum a $10,000 Notary Bond. When we receive your bond and $25.00 recording fee, your notary commission will be issued, and your notary certificate will be mailed to you. If you have any questions or concerns, please call the Bay Minette Probate Office at (251) 5802596. Thank you. American LegalNet, Inc. www.FormsWorkflow.com