YOUR NAME______________________________________________________________________________ PLEASE PRINT YOUR NAME AS YOU WANT IT TO APPEAR ON YOUR NOTARY COMMISSION PLEASE READ THE FOLLOWING INSTRUCTIONS BEFORE COMPLETING THE NOTARY PUBLIC APPLICATION The Notary Public examination fee is $25.00 (non-refundable) and payable to the Clerk of Courts. Upon receipt of the application and examination fee, a study guide will be mailed to you. You should plan to schedule your notary test within 45 days of receipt of the study guide. Please call (740)687-7116 to schedule your examination. The notary examination is given every other Wednesday at 8:00AM-8:30AM in the Law Library on the 1st floor of the Hall of Justice. Please notify this office at least twenty-four (24) hours in advance if you need to cancel or reschedule your examination. NOTARY TESTS ARE NOT GIVEN IN APRIL, AUGUST OR DECEMBER. The Notary Public examination consists of 20 questions worth 5 points each. You must obtain a score of 80 out of a possible 100 points in order to pass the examination. You must correctly answer the five questions with an (*) beside them or you will automatically fail the examination. You may not refer to any books or notes while taking the examination. Mark only one answer per question. You have a maximum of one hour to answer the questions. YOU MAY MAKE THREE ATTEMPTS TO PASS THE NOTARY PUBLIC EXAMINATION. Once you have successfully completed the examination, your application for a Notary Public will be mailed to you as soon as possible. An instructional guide for the completion of the notary application process will be mailed along with your application. Upon receiving your commission, you must take the oath of office, and have your commission recorded in the Clerk's Office, 2nd floor of the Hall of Justice, Lancaster, before performing any notarial duties. You may purchase your stamp after you have had your commission recorded. ANSWER 1. How long have you been a resident of the State of Ohio? ________ 2. Are you a resident of Fairfield County? ________ 3. Have you been a resident of Fairfield County for at least 30 days? ________ 4. Are you 18 years of age or older? ________ 5. In what township, village or city do you reside? ________ 6. Your mailing address __________________________________________________________________ ____________________________________________________________________________________ If using a post office box, what is your physical address? _______________________________________ 7. Home Phone #_________________________ Work Phone #__________________________ Circle the last grade of school completed by you. 1 2 3 4 5 6 7 8 9 10 11 12 1 American LegalNet, Inc. www.FormsWorkFlow.com Did you graduate? __________ Name and location of school_______________________________ ____________________________________________________________________________________ College name and location_______________________________________________________________ How long? __________years __________months Did you graduate?_____________________ 8. Are you employed outside the home?___________ If yes, list the name and address of your employer: ____________________________________________________________________________________ List your employment during the last five years: Occupation From-to Name of Employer Address ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ _______________________________________________________________________________ 9. Have you ever in the past entered a plea of guilty to or been convicted of a felony? YES 10. Have you ever been removed from any office for reasons involving moral turpitude or had a business or professional license revoked? YES NO 11. Have you held a commission as a Notary Public in any other state or county? YES NO Name of state or county ________________________________________________________________ Expiration date of commission ___________________________________________________________ 12. Have you ever been removed from the office of Notary Public? YES NO If yes, for what reason _________________________________________________________________ 13. Are you an attorney-at-law? YES NO NO _______________________________________ Signature PLEASE HAVE YOUR SIGNATURE NOTARIZED BEFORE RETURNING THIS FORM. 2 American LegalNet, Inc. www.FormsWorkFlow.com State of Ohio, County of Fairfield ___________________________, being first duly sworn, says that the statements contained in the foregoing Print Applicant’s Name application are true as he/she verily believes. Sworn to me and subscribed in my presence this _______ day of ______________, 20___. _______________________________________ Notary Public, State of Ohio EXAMINATION FEE $25.00 RECEIVED THIS______DAY OF ______, 20___. BY___________________________________ PLEASE RETURN YOUR COMPLETED APPLICATION AND $25.00 CHECK OR MONEY ORDER MADE PAYABLE TO THE CLERK OF COURTS TO THE FOLLOWING: KELLY R. STARKEY HALL OF JUSTICE 224 EAST MAIN STREET, ROOM 102 LANCASTER, OHIO 43130 3 American LegalNet, Inc. www.FormsWorkFlow.com