Notary Public Application

Notary Public Application
STEP 1: APPLICANT INFORMATION
Name of Notary
First Name*
AS SHOWN ON DRIVER'S LICENSE OR STATE ID
Middle Name or Initial
AS SHOWN ON DRIVER'S LICENSE OR STATE ID
Last Name*
AS SHOWN ON DRIVER'S LICENSE OR STATE ID
First + Middle Name
Full Name
Business Information

The State of Illinois requires a physical address. If none, enter "N/A" or "Self Employed" for business name and N/A for address.
Name of Employer*
Street*
City*
State*
ZIP Code*
Identifying Information
Date of Birth*

MonthDayYear
Date
Driver’s License or State Identification Card Number*
Home Address
Street*
City*
State*
ZIP Code*
County of Residence*
City, State Zip
Contact Information
Email Address*
example@example.com
Home Phone*
Business Phone*
If a business name was filled in above you must also provide the business phone number

STEP 3: QUALIFICATIONS & OATH
Qualification Statements*

I am a U.S. citizen or an alien admitted for permanent residence.*I have been a resident of Illinois for at least 30 days.*I am age 18 or older.*I have never been convicted of a felony.*I am able to read and write the English language.*I have never had a notary public commission revoked.*If also requesting to be an Electronic Notary Public, I also certify that I will:comply with the standards set forth by Section 176.835 of the Illinois NotaryAct relating to identify proofing and credential analysis; use a third-party provider who has been certified to act as an electronic notarization system provider in the State of Illinois by the Secretary; upon request by theSecretary, promptly provide any information necessary instructions or techniques supplied by a provider that will allow the notary public’s digital certificate and electronic seal to be read and authenticated; and comply with the applicable provisions of the Illinois Notary Act, including Article VI-A.
Notarial Oath*

I do solemnly affirm, under the penalty of perjury, that the answers to all statements on this application are true, complete, and correct; that I have carefully read the notary law of the state of Illinois; and that if appointed and commissioned as a notary public, I will perform faithfully, to the best of my ability, all notarial acts in accordance with the law. Further, my signature below authorizes the Office of the Secretary of State to conduct a background verification, including a criminal background check, to confirm the assertions and information provided in the application and to compare and use for official purposes any Illinois driver’s license or state identification card information contained in the office’s master record.

STEP 4: IMPORTANT NEXT STEPS!
Online Order Number
If you placed an order online, please enter your order number
Acknowledgement*

I acknowledge pressing submit does not complete the Illinois Application Process.I acknowledge that I must mail the completed and notarized application with all original signatures, a copy of my Illinois driver’s license or State identification card, and a copy of my notary public course certificate, to the Notary Public Association in Crystal Lake for processing.
Should be Empty:

Notary Public Application

STEP 1: APPLICANT INFORMATION

Name of Notary

Business Information

Identifying Information

Home Address

Contact Information

STEP 2: COMMISSION INFORMATION

STEP 3: QUALIFICATIONS & OATH

STEP 4: IMPORTANT NEXT STEPS!