Microsoft Word - Notary Application

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DEPARTMENT OF THE TREASURY

IVISION OF REVENUE AND ENTERPRISE SERVICES

OTARY PUBLIC APPLICATION

HONE (609) 292-9292

Important: Please read instructions on reverse side.

Complete lines 1 – 8. New Jersey Non-Residents also complete line 9. Lines 10 and 11 must be completed by State Legislator.

1) Application type ☐ New ☐ Renewal (Please enter the following information from your current commission certificate)

Commission Number

Expiration Date

/ /

2) Print Name

Name Change/

Correction

☐

(First Name) (M.I.) (Last Name)

3) Home Address

Address Change/

Correction

☐

(Number and Street, including apartment number and rural route)

City/Town

State

Zip Code + 4

County

4) Date of Birth (MM/DD/YYYY)

/ /

5) Has your commission ever been denied, suspended or revoked? ☐ Yes ☐ No (If yes, enclose a statement of details)

6) Have you ever been convicted of a crime? ☐ Yes ☐ No (If yes, enclose a statement of details)

7) Occupation

8) Signature of Applicant

Date

/ /

New Jersey Non-Residents Only

9) Please list New Jersey Business Name and Address

Business Name

Business Address

(Number and Street, including apartment number and rural route)

City/Town

State

N J

Zip Code + 4

New Jersey County

10) Signature of State Legislator

11) Legislative District Number

For internal use only

/ /

STATEOFNEWJERSEY

DEPARTMENTOFTHETREASURY

NOTARYPUBLICINFORMATIONANDAPPLICATIONINSTRUCTIONS

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ANotaryPublicservesasanimpartialwitnesstothesigningofdocuments,atteststothesignatureonthe

document,andmayalsoadministeroathsandaffirmations.TheStateTreasurercommissionsnotarypublicsfor

afive‐yearperiod.

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A1423:Anotarypublicwhoisnotlicensedasanattorney‐

at‐lawshallnotuseoradvertisethetitleoflawyeror

attorney‐at‐law.Anotarywhoadvertiseshisservicesmustprovideastatement“Iamnotanattorneylicensed

topracticelawandmaynotgivelegaladviceaboutimmigrationoranyotherlegalmatteroracceptfeesfor

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legaladvice”.

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PREREQUISITESFORANOTARYPUBLICCOMMISSION

 ANotaryPublicmustbearesidentofNewJerseyoraresidentofanadjoiningstatewhomaintains,or

isregularlyemployedinanofficeinNewJersey;and

 ANotaryPublicmustbe18yearsorolder;and

 ANotary

PublicmaynothavebeenconvictedofacrimeunderthelawsofanyStateortheFederal

Government,foranoffenseinvolvingdishonesty,oracrimeofthefirstorseconddegree.

STEPSFORAPPLYINGTOBECOMEANOTARYPUBLIC

1. VisittheNewJerseyDivisionofRevenueand

EnterpriseServices(DORES)websiteat

http://www.state.nj.us/treasury/revenue/toapplyforaNotaryPublicCommissiononline,or

Completethepaperapplic ationformasfollows:

 Entertheappropriateinformationinlines1‐8.

 IfyouareacurrentNotaryPublicandyourNameorAddresshaschanged,makesuretocheckthe

appropriatebox(es)onlines2/3.

 Ifyouareanon‐residentofNewJersey,enterthebusinessnameandaddressofyourofficeor

placeofemploymentinNewJerseyinline9andattachanaffidavittoyourapplication attestingto

yourhomeaddress.

 ReceiveanendorsementfromamemberoftheNewJerseyStateLegislatureonlines10/11.

2. Sendthe

completedandendorsedpap erapplicationformwithacheckforthefilingfeeof$25.00

(non‐refundable) to:DORES,NotaryPublicSection, POBox452,Trenton,NJ08646.Makecheck

payableto:Treasurer,StateofNewJersey.

Providedyourapplicationformisproperlycompleted,DORESwillmailyouaNotaryPublic

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CommissionCertificatetogetherwithanOathQualificationCertificatewithin30days.

3. TakeyourNotaryPublicCommissionCertificateandOathQualificationCertificatetotheOfficeofthe

CountyClerkwhereyoureside(fornon‐residents,whereyouareemployedinNewJersey)toswearto

theOathofOffice.

Note

thatyouwillberequiredtopaythefilingfeepertheCountyClerk'sstatutoryfeeschedule.Your

CountyClerkwillsendyourOathQualificationCertificatetoDORES.

IMPORTANTNOTES:DORESwillrejectyourOathQualificationCertificate ifitisnotsubmittedbytheOfficeof

theCountyClerkwhereyoureside.Ifthishappens,DORESwillmailyoualetterprovidinginstructionsabout

howtocompletetheapplicationprocess.Inaddition,DORESwill cancelyourNotaryPubliccommissionifyou

donottakeyouroathwithin3monthsfromthedateofyourCommissionCertificate.Ifthishappens,youwill

needtosubmitanewapplicationandfilingfee.

DORESmaintainsadatabaseof

NotaryPublicsathttp://www.state.nj.us/treasury/revenue/notary.shtml