Form 11Np001 PDF Details

The Form 11NP001, updated as of July 2021, serves a pivotal role for individuals seeking to become notaries public in certain jurisdictions. As a comprehensive application for a Notary Public Commission, it mandates careful attention to detail, requiring applicants to print or type information clearly in ink. The form's design is user-friendly, allowing for completion and printing directly from a computer, though saving the form necessitates specific software due to its features. A critical aspect of the form is the inclusion of mandatory fields marked with an asterisk (*), emphasizing the importance of completeness for a successful application process. Prospective notaries are instructed to send their completed application along with a $25.00 fee to the designated office, with a stringent notice that failure to submit the required bond within 60 days results in a lapse of the application, compelling the applicant to initiate the process anew. This form uniquely specifies how the applicant's name will appear on the notary commission, detailing permissible and prohibited inclusions to ensure clarity and standardization. Additionally, the form collects essential personal identification, residency information, and optional business or employer details for public listing on the Notary Website, emphasizing transparency and accessibility. By certifying the application under penalty of perjury, applicants affirm their understanding of the regulations, eligibility, and truthfulness of the information provided, culminating in a solemn attestation before a notary public, which solidifies the application's integrity and the applicant's commitment to upholding the responsibilities of the office sought.

QuestionAnswer
Form NameForm 11Np001
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessubscribed, reside, disqualifying, MISSISSIPPI

Form Preview Example

Form 11NP001 Revised 7/2021

APPLICATION FOR NOTARY PUBLIC COMMISSION

●Please type or print in ink. Name will appear on certificate as it is entered on this Form.

●This form is designed to be completed and printed from your computer. You cannot save the form on your computer unless you have the appropriate software. Fields marked with an asterisk (*) are required. Return completed Application and the $25.00 fee to the Secretary of State, Business Services Division, P.O. Box 136, Jackson, MS 39205-0136.If you do not submit your bond within (60) sixty days, your application will be in lapse status and applicant will have to start the notary process again.

This is a ☐ New ☐ Current Commission

Expiration Date:

Notary ID#:_________________________

(Check only one)

(Current Commission)

 

Legal Name of Applicant: *_____________________________________________________________

Commission Name of Applicant:*_____________________________________________________

Applicant’s name will appear on notary commission exactly as entered for “Commission Name of Applicant” above. Full last name required. Initial allowed only for the first or middle name. Allowed: suffixes (Jr., Sr., II, III, etc.). Not allowed: full or abbreviated titles such as “Doctor,” “Reverend,” “Esquire,” or similar. This form must be signed on the signature line below, exactly as Commission Name of Applicant reads above. Must be handwritten and legible; if signature is not legible, print name immediately adjacent to signature.

1.

Date of Birth:*

 

Govt. Identification #:*

 

 

 

 

County of Residence:*

 

 

 

 

 

 

2.

Street Address:*

 

 

 

 

 

 

City:*

 

MS Zip Code:*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

☐Check here if you would like this address published on the Notary Website.

 

 

 

 

 

 

 

 

 

 

3.

Optional Mailing Address:

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

State:

 

 

Zip:

 

 

 

 

 

 

 

 

 

 

 

 

 

☐Check here if you would like this address published on the Notary Website.

 

 

 

 

 

 

 

 

 

 

4.

Telephone:*

 

 

Email:*

 

 

 

 

 

 

PIN:*

 

 

 

 

(Any 4 digits such as last 4 of SSN)

Business/Employer Information: This information will be published on the Notary Website. If you do not provide this information, your personal residential or mailing address will be listed on the Notary Website.

5.

Business Name:*

 

 

 

 

Telephone:*

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Street Address:*

 

 

City:*

 

 

 

 

Zip:*

 

7.

Mailing Address:

 

City:

 

 

 

 

Zip:

 

 

 

 

 

 

 

Under penalty of perjury, I hereby certify that: I have read the instructions and the Notary Public Regulations and understand the qualifications for appointment to the Office of Notary Public; I am at least 18 years of age and I have never been convicted of a felony in this State or other state-nation and am not presently incarcerated or on parole; I have never had a denial, revocation, suspension, restriction, or resignation of a notarial commission in this State or any other state or nation ; I can read and write the English language; I am a Citizen or other permanent legal resident of the United States; and I reside at the physical residential address provided on this application.

I swear or affirm that the above information is true and correct.

Sworn to and subscribed before me this

 

day of

, 20

.

(Signature of Applicant)

 

 

State of Mississippi

 

 

 

 

 

 

 

 

County of:

 

 

 

 

 

 

 

 

 

 

Notary Public

 

 

 

 

 

 

 

SEAL

 

 

 

 

 

 

 

 

 

 

 

 

 

My Commission Expires:

 

 

 

 

 

 

 

 

 

How to Edit Form 11Np001 Online for Free

There's nothing hard regarding completing the Expiration when you launch our editor. By following these easy steps, you'll get the ready document within the shortest time frame possible.

Step 1: You should choose the orange "Get Form Now" button at the top of the following page.

Step 2: Right now, you can start modifying your Expiration. Our multifunctional toolbar is readily available - insert, eliminate, change, highlight, and conduct other commands with the text in the document.

For each segment, add the content asked by the application.

stage 1 to writing form 11np001

In the segment BusinessEmployer Information This, Business Name, Street Address, Mailing Address, Telephone, City, City, Zip, Zip, Under penalty of perjury I hereby, I swear or affirm that the above, Sworn to and subscribed before me, day of, Signature of Applicant, and State of Mississippi County of note the data the system demands you to do.

stage 2 to completing form 11np001

Step 3: As soon as you've selected the Done button, your file should be obtainable for transfer to any electronic device or email you identify.

Step 4: Have as much as a few copies of the file to stay away from any specific possible future problems.

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