Notary Application

Personal Information
The State of Florida requires the following information from all notary applicants. Please note this information is shared only with the Department of State via a secure network.

Personal Details

Name*
First Middle Last
Date of Birth*
Month
Day
Year
Social Security*
Gender*
- Male
- Female
Race*
Other Race*
FL Driver's License or ID*
Identification accepted: State of Florida driver's license or ID card, Homestead Exemption, tax form, voter's registration card, recorded Declaration of Domicile, or sworn affidavit.

Home Address

Address*
Physical address only. No P.O. Boxes allowed.

Street Address Address Line 2 City State ZIP Code
County*

Contact

Email*
Phone*

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Employment Information

Employment Status

Employment Status*
- Employed
- Unemployed
- Retired

Business Details

Company Name*
Company Address*
Physical address only. No P.O. Boxes allowed.

Street Address Address Line 2 City State ZIP Code
Company County*
Company Phone*
Company Phone Extension

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Affidavit of Character

Note

You can move on to the next section if you don't know who you will use for your Character Witness. However it must be completed and submitted with your signed application.

This person MUST BE UNRELATED and have known you for at least 1 year. Your character witness' signature will be required.

Character Witness

I will complete this section by hand at a later time.
- Yes
Witness Name
First Last
Witness Address
Street Address Address Line 2 City State ZIP Code
Witness County
Witness Phone Number
Witness Work Number

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Oath of Office

In this section of your notary application, you are required by the State of Florida to affirm the following three statements as your Oath of Office:
* I do solemnly swear (or affirm) that I will support, protect, and defend the Constitution and Government of the United States and of the State of Florida;
- that I am duly qualified to hold office under the Constitution of the state;
- that I have read Chapter 117, Florida Statutes, and any amendments thereto, and know the duties, responsibilities, limitations, and powers of a notary public;
- and that I will well and faithfully perform the duties of Notary Public, State of Florida, on which I am now about to enter. So help me God*
* If you affirm, you may omit the words "So help me God." FL. State. 92.52.

UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING APPLICATION AND OATH AND THAT THE FACTS STATED THEREIN ARE TRUE.

I accept the office of Notary Public, State of Florida.
Do you affirm the previous three statements?*
- Yes
- No

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Memorandum

As a general matter, applications for all positions within state government are public records, which may be viewed by anyone upon request. However, there are some exemptions from the public records law for identifying information relating to certain enumerated persons, including, but not limited to, past and present law enforcement officers and their families, victims of certain crimes, etc. (See Section 119.071, Florida statutes). If you believe an exemption from the public records law applies to your Florida notary public commission application submission, please check the following box:
Public Record Exclusion*
Yes, I assert that identifying information provided in this application (other than my social security number, which I am aware is automatically exempt from public disclosure, pursuant to FL. State. § 119.071(5)(a)(5) should be excluded from inspection under Public Records Law.
- Yes
- No
If Yes, please indicate what section for Florida Statutes provides this exemption in your particular situation:
This can be completed later.

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Supplies
$39 for 4 Years

For less than a $1 per month, we set you up for success.

Every notary professional should have these industry essentials in their “toolbox”:

Quarterly E-Newsletter of Industry Updates & Tips

Special “Member Only” Discounts
You will enjoy significant savings on processing and supplies:
- Save $10 on Amended Commission Request
- Save $10 on Notary Renewal
- Receive member discounts & pre-sale alerts on top quality notary supplies
Free Self-Inking Stamp Replacement

Downloadable “Must Haves”
We provide you the “must haves” that all notaries need at their fingertips:
- Acknowledgements & Oaths
- Affidavit of Residency
- Apostille Certification
- Florida Declaration of Domicile
- Wedding Guide
- Notary Checklist
Toll-free Notarization Assistance
FREE Notary
Reference Manual
Notary + Membership*

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Errors & Omissions Insurance (Recommended)

You Can Be Sued as a Notary…

Everyone Makes Mistakes –

Make sure yours are covered by E&O Insurance.

What happens if you don’t have E&O Insurance?

Without this optional insurance, you will be personally liable for any lawsuit brought against you as a notary.

Why do we strongly recommend E&O Insurance?

Because for a small premium, all damages and legal costs are covered up to the policy limit.

The $7,500 notary bond protects YOUR CUSTOMER.

Errors & Omissions Insurance protects YOU.

Individual Coverage
Policy Limits	Policy Term	Term Premium
$10,000	4 Years	$29
$25,000	4 Years	$67
$30,000	4 Years	$74

Company E&O Insurance protects the company and all employees who hold a notary commission. If you’re interested in Company Coverage, click here.

Do you want individual coverage?*
- Yes
- No
Hidden
Insurance Coverage Type*
Individual Coverage*
Business Coverage*
Number of Employees*
Please enter a number greater than or equal to 1.
Business Coverage Total
Price: $0.00
Signature FNA Bundle
- Yes, I want this limited time Signature FNA Bundle specially priced at $39
Signature FNA Bundle
Price: $0.00

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Order Options

Cart

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Shipping Options

Shipping Options*

Mailing Address

Mailing Address Type*
- Home
- Business
- Other
Mailing Address*
Street Address Address Line 2 City State ZIP Code

Promo

Code
Limit one per customer

How did you hear about us?

How did you hear about us?
Other?

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Payment

Cart

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Payment Method

Payment Method*
The following payments are accepted for Mail Check: checks, money orders, and purchase orders.
- Mail Check
- Credit Card

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Review

Please review your answers below. If edits are necessary, please go back to the previous pages and make the corrections now.

{all_fields}
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00
Billing Address*
Street Address Address Line 2 City State ZIP Code
Terms and Conditions*
Click here to view the Terms and Conditions.
- I acknowledge that I have read and agreed to the Terms and Conditions as set by Florida Notary Association.
Email
This field is for validation purposes and should be left unchanged.

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Step 1 of 11

Personal Information

Employment Information

Qualifications - State Requirements

Affidavit of Character

Oath of Office

Memorandum

Supplies

$39 for 4 Years

For less than a $1 per month, we set you up for success.

Every notary professional should have these industry essentials in their “toolbox”:

Quarterly E-Newsletter of Industry Updates & Tips

Special “Member Only” Discounts

Free Self-Inking Stamp Replacement

Downloadable “Must Haves”

Toll-free Notarization Assistance

FREE Notary
Reference Manual

Errors & Omissions Insurance (Recommended)

You Can Be Sued as a Notary…

Everyone Makes Mistakes –

Make sure yours are covered by E&O Insurance.

The $7,500 notary bond protects YOUR CUSTOMER.

Errors & Omissions Insurance protects YOU.

Order Options

Payment

Review

Notary Application

Step 1 of 11

Personal Information

Employment Information

Qualifications - State Requirements

Affidavit of Character

Oath of Office

Memorandum

Supplies

$39 for 4 Years

For less than a $1 per month, we set you up for success.

Every notary professional should have these industry essentials in their “toolbox”:

Quarterly E-Newsletter of Industry Updates & Tips

Special “Member Only” Discounts

Free Self-Inking Stamp Replacement

Downloadable “Must Haves”

Toll-free Notarization Assistance

FREE NotaryReference Manual

Errors & Omissions Insurance (Recommended)

You Can Be Sued as a Notary…

Everyone Makes Mistakes –

Make sure yours are covered by E&O Insurance.

The $7,500 notary bond protects YOUR CUSTOMER.

Errors & Omissions Insurance protects YOU.

Order Options

Payment

Review

FREE Notary
Reference Manual