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Application, Statement, And Oath Of Office For Commission As A Notary Public Form. This is a Montana form and can be use in Notary Public Secretary Of State.
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Application Instructions For
a Notary Commission in Montana
The process is the same for new and renewal applicants as of the date of this publication.
1. Read through these instructions thoroughly. If there is anything that you don’t understand, please visit the
Secretary of State’s website at www.sos.mt.gov/notary or contact the office at (406) 444-5379. It is strongly
suggested that you become familiar with the responsibilities and legal liabilities imposed upon Notaries Public
before applying for a commission.
2. Make arrangements to obtain a $10,000 surety bond written for a term of four years. These are available
through most insurance companies licensed to do business in the state of Montana. A surety bond is not insurance
for the notary. It is meant to protect the public from any claim made against the State as a result of your actions.
In the event of such a claim, the bonding company would look to you, the notary, for repayment of the claim
amount. You may wish to discuss with your insurance agent the need for Errors & Omissions Insurance to
provide personal coverage to protect yourself.
3. Fill out the form titled, “Application, Statement, and Oath of Office for Commission as a Notary Public,
Revised 1/2006”. This form must be notarized (correctly!).
•
•
Enter your name exactly the way you normally make your signature. This is the name in which
your Notary Commission will be issued and it must match the name on the surety bond and your
signature. (If your legal name is “John Quincy Public”, but you normally sign “J. Q. Public”, then
enter J. Q. Public on the application.)
Make sure you follow the directions on the form and provide all the information requested.
Incomplete applications will be returned for completion; this will delay the processing of your
commission request. Be sure to include your mailing address to insure delivery of your Certificate of
Commission.
4. When you receive the bond:
•
Make sure all appearances of your name on both the application and the bond are exactly the
same.
•
Check that the city and county listed on the bond are where you live, not where you work.
•
Sign the bond on the line for the “Principal”.
5. Send the original application form and bond with the filing fee of $25 (check or money order) to:
Montana Secretary of State
PO Box 202801
Helena MT 59620-2801
6. You should receive your commission certificate within 10 days – 2 weeks. Verify that your name is correct
and note your commission dates. You are responsible for procuring your notary seal/stamp.
YOU ARE NOT A NOTARY PUBLIC FOR THE STATE OF MONTANA
UNLESS YOU HAVE RECEIVED AN OFFICIAL CERTIFICATE OF COMMISSION
SHOWING YOUR NAME AND THE DATES OF YOUR TERM OF OFFICE
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Brad Johnson
Montana Secretary of State
PO Box 202801
Helena MT 59620-2801
(406) 444-5379
APPLICATION, STATEMENT, AND OATH OF OFFICE FOR
COMMISSION AS A NOTARY PUBLIC
Filing Fee $25.00
NOTE: All appearances of the applicant’s name on this document and the associated surety bond must be exactly the same.
Name (as you wish it to appear on your commission certificate and official seal)
____________________________________________________________________________________________________________________
First
Middle (if desired)
Last
Social Security #___________________________________________
Date of Birth________________________________________
Have you ever been issued a commission as a Notary Public in Montana?
If yes, under what name?__________________________________________
YES
NO
Commission expiration date _________________________
(Month/Day/YYYY)
Home Mailing Address
_________________________________________________________________ HOME PHONE _________________________________
Street/Box #
Apt/Unit
City _____________________________________ County _______________________________________ State MT
Zip _______________
Physical/Residence Address (if different)
_________________________________________________________________________ __________________________________________
Street
Apt/Unit
City _____________________________________ County____________________________________ State MT
Zip _____________
Employment Information*
____________________________________________________________________
Employer Name
______________________________________________
WORK PHONE
_____________________________________________________________________________________________________________________
Employer Address
City
State
Zip Code
*If you are presently unemployed or retired, please enter “N/A” for Employer. Enter “Work at Home” if your work address is the same as your
home address.
STATEMENT & OATH
I, _________________________________________________, the undersigned, making application for a Commission as Notary Public in and
for the State of Montana affirm, and at the date hereon swear that: I am eighteen (18) years of age or older, I have resided in the State of Montana
continuously for at least one (1) year immediately prior to the date hereon, I have never been convicted of a felony, I have never had a Notary
Commission denied, revoked, or restricted in any state, the information on this application is true and complete to the best of my knowledge, and
I am qualified to be appointed and commissioned as a Notary Public for the State of Montana.
I do solemnly swear (or affirm) that I will support, protect and defend the constitution of the United States, and the constitution of the State of
Montana, and that I will discharge the duties of my office of Notary Public for the State of Montana with fidelity (so help me God).
State of Montana
County of _______________________
______________________________________________________________
Applicant’s signature
Sworn to and subscribed before me this _________day of ____________________A.D., 20______.
_____________________________________________________
Notary Public for the State of Montana (signature)
(SEAL)
_____________________________________________________
Notary Public (name typed/stamped or printed)
Residing at (city): ______________________________________
Commission expiration_________________ (Month/Day/YYYY)
Revised 1/2006
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