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Hawkins Notary Public Application
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By submitting this application you hereby certify under penalty of perjury that all information contained herein is true and correct, and that you are 18 years of age or older. Once approved and elected, you must then be commissioned by the Governor. In addition, you will be required to post a bond in the amount of $10,000. This bond must be filed in the office of the County Clerk where you will pay the required fees and take the oath of office. You are not an authorized notary public until you have received your commission from the Governor, filed your bond, and taken the oath of office. You must be a United States Citizen or a legal permanent resident of the United States. Should you move your residence or your principal place of business out of this county, you are required to notify the County Clerk of the change of address, and you must pay a fee of $2.00.
Please Answer ALL of the Following Questions
Date of Application:
10/29/2024
First Name
(Required)
Middle Name
(optional)
Last Name
(Required)
Suffix
(optional)
New or Renewal:
New
Renewal
Notary Expiration Date
Notary Name
Notary First
(Required)
Notary Middle
(optional)
Notary Last
(Required)
Notary Suffix
(optional)
Applicant's Printed Name Exactly As You Wish To Appear On Notary Seal
Home Address
Street
(Required)
City
(Required)
State
(Required)
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Foreign Country
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip
(Required)
Business Address
Employed By
(Required)
Business Address
Same As Home Address
Business Street
(Required)
Business City
(Required)
Business State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Foreign Country
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Business Zip
(Required)
Corporate Bond
(optional)
Individual Bond 1
(optional)
Individual Bond 2
(optional)
Home Phone:
(Required)
-
-
Work Phone
(Required)
-
-
& ext
Business Phone
(optional)
-
-
Date of Birth
(Required)
Email Address
(Required)
Confirm Email Address
(Required)
Answering Yes to any of the following questions will disqualify this Notary Application
Have you ever been convicted of offering and/or giving a bribe, larceny, or any other offense declared infamous by law?
If you answered question 1 with YES, has your citizenship been restored?
Is there an unpaid judgment against you for moneys received in an official capacity, due to the United States, to Tennessee, or to any of its counties?
Are you a defaulter to the treasury?
Are you serving as a soldier, sailor, marine, or airman in the Regular Army, Navy, or Air Force of the United States?
Are you a member of Congress, or a person holding any office of profit or trust under any foreign power, other state of the union, or under the United States?
Have you ever been removed from office of Notary Public for official misconduct?
Have you ever had a notarial commission revoked or suspended by Tennessee or any other state?
Have you ever been found by a court of Tennessee, or of any other state, to have engaged in the unauthorized practice of law?
Is there any other reason that you are legally disqualified from holding the office of a Notary Public
Were
ANY
of the previous questions Yes?
Yes
No
Legal Binding Disclaimer:
This Notary Application is a legal binding document between you and Hawkins County.
Commission only - No Stamp $14.00
Payment Information:
Application Fee
$
Convenience Fee
$ 1.00
$0.00
Credit Card Fee (2.25%)
$
0.00
Total
$