Notary Public Application Form. This is a Delaware form and can be use in Notary Public Department Of State.
Tags: Notary Public Application, Delaware Department Of State, Notary Public
DELAWARE NOTARY PUBLIC APPLICATION Notaries Public are appointed by the Governor pursuant to 29 Del. C. Chapter 43. The requirements are found at http://notary.delaware.gov/services/npinstru.shtml. Please read the requirements before completing the application. Your application will not be accepted unless ALL areas are completed. PLEASE PRINT OR TYPE (Select one:) Miss Mrs. Ms. Mr. Name of applicant ______________________________________________________ Birthdate: ______________ (First/Middle/Last) (Month/Day/Year) Home Address ________________________________________________________________________________ (City) (Street) (State) (County) (Zip) If you have ever been convicted of a crime (except for minor traffic violations), please list offense, date, and state. ____________________________________________________________________________________________ Delaware resident non-resident, State of __________________ (non-resident who maintains a Delaware workplace must fill out “Affidavit of Non-resident Applicant” form) Request for new appointment (2 year term only - $60) Request for reappointment – present Commission expires on: ___________ 2 year term ($60) or 4 year term ($90) With what business organization are you associated? Business Name: ______________________________________________________________________________ Business Address _____________________________________________________________________________ City _________________________________State ___________ Zip ________ Telephone: __________________ State the nature of your business and the reasons that a notary public commission in your name is needed. Give the names, home addresses, and telephone numbers of two legal residents of Delaware (not related to you) who are qualified as references with respect to your character and reputation: ____________________________________________________________________________________________ (Name) (Street) (City) (Zip) (Telephone No.) ____________________________________________________________________________________________ (Name) (Street) (City) (Zip) (Telephone No.) ________________________________________ Signature of Applicant (Do not write in this space) Official Use Only #________________________ Date: _____________ American LegalNet, Inc. www.FormsWorkflow.com