Form #2301 Rev.

04/2013 This space reserved for SOS use

If renewing, mark this box:

APPLICATION FOR APPOINTMENT AS
TEXAS NOTARY PUBLIC
Commission Expires: / /
Identifying Information
Please Type or Print Legibly

Name to be used as notary public: (This is the name you will be required to sign when notarizing.) Social Security No.:
- -
Last First Middle (not required) Suffix Required by TX Gov’t Code §406

Mailing Address: (Please notify the secretary of state of an address change within 10 days) Residence County:
TX
Street City State Zip

Email address for return of commission (Legible):

(Your commission will come from notarypubliccommission@sos.state.tx.us and you will NOT receive materials by mail.)

Alternate email address for return of commission (optional):

Date of Birth: / / Driver’s License or Identification No.: Issuing state:

Statements Relating To Qualification

I, the above-named applicant, have never been convicted of a felony or crime involving moral turpitude, am at least 18 years
of age and a legal resident of Texas. {All applications are subject to a background check.}
Please select one of the following:
A. I have been found guilty of a crime other than a Class C misdemeanor. (Applicants selecting this option must attach the
following for each crime: (1) copies of court order and sentence, and papers pertaining to release from probation; and (2) a
statement of (i) the nature, circumstances, date, and location, and (ii) whether the case is on appeal.) {A conviction for a
crime involving moral turpitude OR a FELONY disqualifies you from appointment as a notary public under Texas law.}
B. I have never been found guilty of a crime OR I have only been found guilty of a Class C misdemeanor, e.g. minor traffic
violations such as speeding.
Notary Public Surety Bond
(This space reserved for agency/bonding company)
KNOW ALL PERSONS BY THESE PRESENTS:
That we, the above-named applicant , as principal, and Merchants Bonding Company Mutual , as surety, a corporation
duly licensed to do business in the state of Texas, are held and firmly bound unto the governor of the state of Texas and to his/her
successors in office, in the sum of TEN THOUSAND DOLLARS for the payment of which, well and truly be made we bind ourselves, our
heirs, executors and administrators jointly and severally. As a condition of this bond, the above-named principal shall faithfully perform all
duties of the office of notary public. BOND NUMBER:
Agency Name: NNA Insurance Services Address: 9350 De Soto Avenue, P.O. Box 2402, Chatsworth, CA 91313-2402
Street City State Zip
Date:
Signature of authorized person for surety

Statement of Officer
I, the above-named applicant , do solemnly swear (or affirm) that I have not directly or indirectly paid, offered, promised to
pay, contributed, or promised to contribute any money or thing of value, or promised any public office or employment for the giving or withholding
of a vote at the election at which I was elected or as a reward to secure my appointment or confirmation, whichever the case may be, so help me
God.

Execution
I declare under penalty of perjury that the facts in the foregoing Statement of Officer are true. I further certify that the information provided in
and with this Application is true and correct and that I am not disqualified by law or any other reason from holding the office of notary public. I
agree to be bound by the terms and conditions of the incorporated surety bond.
Date:
Signature of Applicant (sign in name given above on line #1 to be used as notary public)

Form 2301 Questions may be directed to the Notary Public Unit at 512-463-5705.
 How to Complete the Application for Appointment
as a Texas Notary Public

Choose from three convenient options:

+ Return to the NNA® at

9350 De Soto Avenue
P.O. Box 2402
Chatsworth, CA 91313-2402
Fax to the NNA at
1-800-833-1211
: Email to the NNA at
Applications@NationalNotary.org

The NNA will submit your application electronically to the Texas Secretary of State
upon receipt of your order and payment, speeding up your approval.

Form #2301 Rev. 04/2013 This space reserved for SOS use

Identifying Information
APPLICATION FOR APPOINTMENT AS
The Secretary of State mandates the disclosure
of your Social Security number to maintain Notary
If renewing, mark this box:
TEXAS NOTARY PUBLIC
Commission Expires: / /
Identifying Information records. Make any corrections to the pre-filled data
directly on the form or print a blank application at
Please Type or Print Legibly

Name to be used as notary public: (This is the name you will be required to sign when notarizing.) Social Security No.:

Last First Middle (not required) Suffix

- -
Required by TX Gov’t Code §406
www.NationalNotary.org/TX/Renew.
Mailing Address: (Please notify the secretary of state of an address change within 10 days) Residence County:
TX
Street City State Zip

Email address for return of commission (Legible):

(Your commission will come from notarypubliccommission@sos.state.tx.us and you will NOT receive materials by mail.)
Statements Relating to Qualification
The applicant swears to meeting the qualification
Alternate email address for return of commission (optional):

Date of Birth: / / Driver’s License or Identification No.: Issuing state:

requirements. A Notary Public must be at least 18
Statements Relating To Qualification
I, the above-named applicant, have never been convicted of a felony or crime involving moral turpitude, am at least 18 years
of age and a legal resident of Texas. {All applications are subject to a background check.}
years of age, be a legal resident of Texas, and meet
Please select one of the following: the criminal history requirements of § 406.004, Texas
Government Code.
A. I have been found guilty of a crime other than a Class C misdemeanor. (Applicants selecting this option must attach the
following for each crime: (1) copies of court order and sentence, and papers pertaining to release from probation; and (2) a
statement of (i) the nature, circumstances, date, and location, and (ii) whether the case is on appeal.) {A conviction for a
crime involving moral turpitude OR a FELONY disqualifies you from appointment as a notary public under Texas law.}
B. I have never been found guilty of a crime OR I have only been found guilty of a Class C misdemeanor, e.g. minor traffic
violations such as speeding.
Notary Public Surety Bond

KNOW ALL PERSONS BY THESE PRESENTS:

(This space reserved for agency/bonding company)

Merchants Bonding Company Mutual

Notary Public Surety Bond
Leave these lines blank. The NNA will complete this
That we, the above-named applicant , as principal, and , as surety, a corporation
duly licensed to do business in the state of Texas, are held and firmly bound unto the governor of the state of Texas and to his/her
successors in office, in the sum of TEN THOUSAND DOLLARS for the payment of which, well and truly be made we bind ourselves, our
heirs, executors and administrators jointly and severally. As a condition of this bond, the above-named principal shall faithfully perform all
duties of the office of notary public. BOND NUMBER:
section before forwarding your application to the
Agency Name: NNA Insurance Services Address: 9350 De Soto Avenue, P.O. Box 2402, Chatsworth, CA 91313-2402 Secretary of State.
Street City State Zip
Date:
Signature of authorized person for surety

Statement of Officer
I, the above-named applicant , do solemnly swear (or affirm) that I have not directly or indirectly paid, offered, promised to
pay, contributed, or promised to contribute any money or thing of value, or promised any public office or employment for the giving or withholding
of a vote at the election at which I was elected or as a reward to secure my appointment or confirmation, whichever the case may be, so help me Execution
Date and sign your name exactly as it appears in the
God.

Execution
I declare under penalty of perjury that the facts in the foregoing Statement of Officer are true. I further certify that the information provided in
and with this Application is true and correct and that I am not disqualified by law or any other reason from holding the office of notary public. I first section.
agree to be bound by the terms and conditions of the incorporated surety bond.
Date:
Signature of Applicant (sign in name given above on line #1 to be used as notary public)

Form 2301 Questions may be directed to the Notary Public Unit at 512-463-5705.

BONDS AND E&O POLICIES UNDERWRITTEN BY MERCHANTS BONDING COMPANY (MUTUAL), WEST DES MOINES, IOWA. PENNSYLVANIA BONDS AND E&O POLICIES UNDERWRITTEN BY MERCHANTS
NATIONAL BONDING, INC., AN AFFILIATE OF MERCHANTS BONDING COMPANY (MUTUAL). AGENT FOR ALL BONDS AND E&O POLICIES IS N.N.A. INSURANCE SERVICES, INC. COMMISSION NUMBER AND
COMMISSION EFFECTIVE AND EXPIRATION DATES REQUIRED FOR E&O POLICY ACTIVATION. THE COVERAGE PROVIDED BY ANY POLICY ISSUED SHALL BE DETERMINED IN ACCORDANCE WITH THE
TERMS AND CONDITIONS OF THE POLICY ISSUED, ANY CONTRARY REPRESENTATIONS HEREIN NOTWITHSTANDING.

© 2017 National Notary Association P70004