en-USSTATE OF IDAHOen-USNOTARY PUBLIC APPLICATION CHECKLIST Notary Application: 1. I have indicated if this is a new commission or a recommission. 2. If this is a recommission I have provided my state 037le number: 3. If this is a recommission, my commission expires within 90 days, or has expired. 4. 036e name I entered on the application matches the name on my notary seal en-USexactlyen-US. 5. I have provided a physical address on the application. 6. I have truthfully answered 223NO224 to all of the notary quali037cations. 7. I have sworn the Oath of O035ce before a commissioned notary public. 8. I have signed the Oath of O035ce. 9. 036e Oath of O035ce is notarized by a commissioned notary (not myself). en-UShttp://www.sos.idaho.gov/NotarySearch/en-USMissing any one of the steps provided below may cause your appointment as a en-USnotary public to be delayed. en-USSubmission: 13. I will submit to the Secretary of State: a. My notary public application (1 page). b. My original, signed, notary bond (1 page). c. A payment of $30.00 (unless I am an exempt government employee). 14. I en-USwill noten-US submit to the Secretary of State: a.My Errors and Omissions policy. b.Insurance papers, other than my 1-page notary bond. en-USMailing address:en-USIdaho Secretary of Stateen-USP.O. Box 83720en-USBoise, ID 83720-0080en-USPhone: (208) 332-2849 en-USPhysical address:en-USIdaho Secretary of Stateen-US450 N. 4th Streeten-USBoise, ID 83702 en-USNotary Bond: I have a notary bond in the amount of $10,000.My notary bond .I have signed the notary bond. en-USIdaho State Employees STOP HEREen-USIdaho State Employees must contact the Dept. of Administration before proceeding with your notaryen-USapplication. Contact Penny 036orpe at (208) 332-1824, or email notary@adm.idaho.gov.en-USMake checks payable to:en-US Idaho Secretary of State American LegalNet, Inc. www.FormsWorkFlow.com 600 This block for Secretary of State use only. Physical/Residential Address (not a PO Box):City:State:Zipcode:Email Address (for future correspondence or information): City:State:Zipcode: First Name:Middle Name or Initial (if used):Last Name:Daytime Phone Number: Part 2. Applicant Information: Enter your name exactly as it appear on your notary seal. Please note: The information provided in this application will be public record. Surety Company Name:Bond Number: Part 3. Idaho Notary Bond Information: Part 5. OATH OF OFFICE: I,, solemly swear (or affirm) that I am eighteen (18) years of age or older, I am a citizen or permanent legal resident of the United States, I am a resident of or have a place of employment or have a place of practice in Idaho, I am able to read and write, I am qualified to be appointed and commissioned as a Notary Public for the State of Idaho, and that the answers to all questions in this application are true, complete, and correct; that I have carefully read the notary laws of this State and I am familiar with their provisions; that I will uphold the Constitution of the United States and the Constitution and laws of the State of Idaho; and that I will faithfully perform, to the best of my ability, the duties of the office of Notary Public. Applicant Signature: (Notary Public Signature) State of Idaho)County of) Former Name: Only needed FORMER Last Name:FORMER First Name:Rev. 07/2017CHECK ONE:New Appointment Reappointment of commission number: Find your commission number at: http://www.sos.idaho.gov/NotarySearch/ Agency phone: Yes No government employee? Part 1. Government employment: STATE OF IDAHO NOTARY PUBLIC APPLICATIONFee: $30 226 Make checks payable to: Secretary of State**Submit your signed notary bond with this application.**Idaho Secretary of State Mark the below statements "Yes" or "No". YesNo American LegalNet, Inc. www.FormsWorkFlow.com