This information is for our use only no info will be shared with any other business.
An incomplete application will delay your notary commission.
REMEMBER! The issue date on your bond must be no more than 60 days before or 30 days after the day your new commission begins. The expiration date on your bond must be one day less than the effective date. Your name must be entered and signed exactly the same on this application as on your bond.
*Entire Name (Exactly as you sign your name)
*Home (physical) Address
*City, State, Zip
*County of Residence
Social Security # - last 4 numbers
*Personal Phone # (area code)
Male Female
*Employer Business Name
*Email
*Employer Business Address
*Employer City, State, Zip
Fax # Phone (daytime)
*Work Phone (daytime)
Please answer the following questions.
YES
NO
1. Have you ever been convicted of a felony or a lesser offense involving
moral turpiture or of a nature that is incompatible with the duties of a notary public?
If the answer to #1 is “Yes,” have you had your civil right restored?
If “yes”, you must provide us with proof of the restoration of your civil rights.
2. Have you even had a professional license revoked, suspended, restricted, or denied for misconduct, dishonesty, or any cause that substantially relates to the duties or responsibilities of a notary public?
3. Have you ever had a notary commission revoked, suspended, restricted, or denied in this state or any other jurisdiction?
4. Are you 18 years of age or older?
5. Are you an Arizona resident, claiming your Arizona residence as your primary residence for state and federal tax purposes?
6. Have you been commissioned as a notary public in any other state or jurisdiction?
(If “yes”, please specify the location(s) below:
7. Are you bilingual? If yes, what language.
8. Where do you want your Notary Commission and Supplies mailed. Please check one.
