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-10.324 Td (Carson City, Nevada 89701-3714) Tj 0 -10.324 Td (\(775\) 684 5708) Tj 0 -10.324 Td (Website: www.nvsos.gov) Tj ET q 27.6 702.797 71.734 72 re W n 59 0 0 57 34.217 710.297 cm /im0 Do Q 2 w 0 G 2 J 310.524 705.297 274.476 66.77 re S BT /F0 18 Tf 351.224 749.333 Td (5 Steps to Becoming a) Tj 33.523 -20.65 Td (Nevada Notary) Tj -3.674 -15.02 Td /F0 12 Tf (\(please read carefully\)) Tj /F0 9 Tf -275.825 -26.121 Td (1. Complete a notary application ) Tj /F1 9 Tf (for a new or renewal appointment) Tj 0 -10.324 Td /F0 9 Tf (2. Complete a notary education/training course ) Tj /F1 9 Tf (\(if applicable\)) Tj 0 -10.324 Td /F0 9 Tf (3. Obtain surety bond and file surety bond) Tj 0 -10.324 Td (4. Submit all necessary documents & fee ) Tj /F1 9 Tf (to the Secretary of State's Notary Division \(see step 4\)) Tj 0 -10.324 Td /F0 9 Tf (5. Obtain a notarial stamp and journal) Tj ET .68 w 0 0 1 RG 0 J 369.825 626.372 m 561.903 626.372 l S BT /F1 9 Tf .20 g 153.230 627.494 Td (\(all questions must be answered with exception of #3\) ) Tj /F2 9 Tf 0 0 1 rg (http://www.nvsos.gov/licensing/notary/forms.asp) Tj ET 1 w 0 G 0 J 27 699.718 m 585 699.715 l S BT /F1 9 Tf 0 g 27.232 613.023 Td (1. You must sign exactly as you want your name to appear on your appointment. You must use your full legal last name. APPLICATIONS) Tj 0 -10.324 Td ( WILL NOT BE PROCESSED WITHOUT ORIGINAL SIGNATURE.) Tj ET .68 w 0 0 1 RG 0 J 146.296 578.319 m 387.408 578.319 l S BT 27.232 589.765 Td (2. If you are applying or renewing as a "Non-Resident Notary," you must complete and submit the "affidavits" with this application.) Tj 0 -10.324 Td ( Download the Affidavits at ) Tj /F2 9 Tf 0 0 1 rg (http://www.nvsos.gov/licensing/notary/pdf/NotaryAffidavit.pdf) Tj /F1 9 Tf .20 g (.) Tj ET 0 J 39.733 554.309 m 368.35 554.309 l S BT 0 g 27.232 565.756 Td (3. If you are not a U.S. citizen you must compete and submit the Document Verification Request Form. Download the form at) Tj 0 -10.324 Td ( ) Tj /F2 9 Tf 0 0 1 rg (http://www.nvsos.gov/business/forms/omni/G845DocumentVerificationRequest.pdf) Tj /F1 9 Tf .20 g (.) Tj 0 g 0 -15.245 Td (4. If you are renewing your notary appointment, please provide your notary commission # and the expiration date of your current) Tj 0 -10.324 Td ( appointment. Both of these can be found on your stamp.) Tj ET 1 w 0 G 2 J 26.235 505.959 234.746 15.012 re S BT /F0 9 Tf 29.339 510.182 Td (STEP 2 - Complete Notary Education/Training Course) Tj /F1 9 Tf -2.106 -14.315 Td (1. A new notary applicant, a notary whose commission has been expired for more than 365 days or a renewing notary who has had a) Tj 0 -10.324 Td ( violation in the past four years, must attend and successfully complete a course of study provided pursuant to NRS 240.018.) Tj ET .68 w 0 0 1 RG 0 J 77.746 459.502 m 339.854 459.502 l S BT 27.232 470.948 Td (2. The Nevada Secretary of State's office is the official provider of notary training classes. Class schedules may be found on the following) Tj 0 -10.324 Td ( website: ) Tj /F2 9 Tf 0 0 1 rg (http://www.nvsos.gov/NotaryTraining/Schedule/ScheduleList.aspx) Tj /F1 9 Tf 0 g (. After completion of this class, a Training Certificate will be) Tj 0 -10.324 Td ( issued. This Training Certificate must be attached to the Notary Application.) Tj .20 g (.) Tj ET 1 w 0 G 2 J 26.235 426.362 222.457 15.012 re S BT /F0 9 Tf 0 g 29.446 430.586 Td (STEP 3 - Obtain Surety Bond and File Surety Bond) Tj /F1 9 Tf -2.214 -14.689 Td (1. Notary applicants must provide a surety bond to the State of Nevada in the sum of $10,000 as required by Nevada law. The bond may) Tj 0 -10.324 Td ( be obtained from any insurance agency offering surety services or a surety bond agent of your choice. \(Check the yellow pages of the) Tj 0 -10.324 Td ( telephone directory under "Bonds, Surety" or do an internet search.\) You specify to the Insurance Company the bond effective date you) Tj 0 -10.324 Td ( want.) Tj ET .68 w 0 0 1 RG 0 J 252.349 359.002 m 453.917 359.002 l S BT 27.232 370.449 Td (2. Once the bond is obtained you must take an oath. The oath can either be administered by the county clerk or another notary. A list of) Tj 0 -10.324 Td ( county clerks may be found at the following website: ) Tj /F2 9 Tf 0 0 1 rg (http://www.nvsos.gov/business/apostille/clerks.asp) Tj /F1 9 Tf .20 g (.) Tj 0 g 0 -14.465 Td (3. The surety bond is filed with the county clerk in the county you reside. If you are applying as a Non-Resident notary that is the county) Tj 0 -10.324 Td ( you are employed. Contact your County Clerk for the current fee to file the bond.) Tj ET 0 G 0 J 167.012 308.701 m 494.558 308.701 l S BT 27.232 320.148 Td (4. The county clerk shall immediately certify that the bond and oath have been filed and recorded. The county clerk will return the "Filing) Tj 0 -10.324 Td ( Notice" to the notary applicant. ) Tj (THIS FILING NOTICE MUST BE ATTACHED TO YOUR NOTARY APPLICATION) Tj (.) Tj ET 1 w 2 J 26.235 285.168 349.498 15.012 re S BT /F0 9 Tf 28.956 289.392 Td (STEP 4 - Submit Completed Application, Required Documents & Application Fee) Tj /F1 9 Tf -1.723 -15.593 Td (1. Mail all required documents and application fee to:) Tj /F0 9 Tf 220.516 -0.485 Td (SECRETARY OF STATE ROSS MILLER) Tj 0 -10.324 Td (NOTARY DIVISION) Tj 0 -10.324 Td (101 N. CARSON STREET, SUITE 3) Tj 0 -10.324 Td (CARSON CITY, NV 89701-3714) Tj /F1 9 Tf -207.774 -10.769 Td (Please check that your are sending an ORIGINAL signed Application, plus any other supporting document/forms as listed in Section 1 of) Tj 0 -10.324 Td (these instructions, i.e., Filing Notice, Training Class Certificate \(if applicable\), and a $35 application fee.) Tj ET .68 w 0 0 1 RG 0 J 177.829 185.519 m 445.397 185.519 l S BT 27.232 207.289 Td (2. $35 ) Tj .20 g (Non-refundable) Tj 0 g ( application fee may be paid via check or money order \(make payable to the Nevada Secretaryof State\), or via credit) Tj 0 -10.324 Td ( card. If paying by credit card, please complete the credit card checklist and submit with your application. The credit card checklist may) Tj 0 -10.324 Td ( be found at the following website: ) Tj /F2 9 Tf 0 0 1 rg (http://www.nvsos.gov/business/forms/omni/CreditCardChecklist.pdf) Tj /F1 9 Tf 0 g (.) Tj 0 -14.505 Td (3. Processing time is 7-10 business days if application is complete. Your Notary Certificate of Appointment will be sent to you via regular) Tj 0 -10.324 Td ( U) Tj .20 g (.) Tj 0 g (S. Mail.) Tj ET 1 w 0 G 2 J 26.235 138.716 297.748 15.012 re S BT /F0 9 Tf 29.577 142.940 Td (STEP 5 - To Complete Commission Obtain Notarial Stamp & Journal) Tj /F1 9 Tf -2.344 -14.343 Td (1. Once you receive your Certificate of Appointment you may purchase a notarial stamp from a rubber stamp vendor. Your Certificate of) Tj 0 -10.324 Td ( Appointment or a certified copy of certificate is necessary to purchase a notarial stamp.) Tj 0 -14.213 Td (2. You will also need to purchase a notary journal required pursuant to NRS 240.120 from an office supply store.) Tj ET .68 w 0 J 134.133 86.406 m 184.646 86.406 l S BT /F0 9 Tf 87.625 87.528 Td (PERSONS ) Tj /F3 9 Tf (INELIGIBLE) Tj ( ) Tj /F0 9 Tf (TO BECOME A NEVADA NOTARY PUBLIC PURSUANT TO NRS CHAPTER 240:) Tj 0 -10.324 Td /F4 9 Tf 1 0 0 rg (W) Tj /F1 9 Tf 0 g ( Individuals under 18 years of age.) Tj 0 -10.324 Td /F4 9 Tf 1 0 0 rg (W) Tj /F1 9 Tf 0 g ( Non-Nevada residents who are not employed at a place of business within the state.) Tj 0 -10.324 Td /F4 9 Tf 1 0 0 rg (W) Tj /F1 9 Tf 0 g ( A convicted felon whose civil rights have NOT been restored.) Tj 0 -10.324 Td /F4 9 Tf 1 0 0 rg (W) Tj /F1 9 Tf 0 g ( Persons holding office under the U.S. Government. This prohibition does not apply to employees of the) Tj 0 -10.324 Td ( U.S. Government.) Tj /F1 7 Tf 347.148 -4.456 Td (Nevada Secretary of State Notary Instructions) Tj 91.037 -8.03 Td (Revised: 3-6-09) Tj ET 1 w 2 J 26.235 623.818 122.998 15.012 re S BT /F0 9 Tf 28.227 628.041 Td (STEP 1 - Notary Application) Tj ET endstream endobj 853 0 obj<> endobj 854 0 obj[750 750 278 333 474 556 556 889 722 238 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 333 333 584 584 584 611 975 722 722 722 722 667 611 778 722 278 556 722 611 833 722 778 667 778 722 667 611 722 667 944 667 667 611 333 278 333 584 556 333 556 611 556 611 556 333 611 611 278 278 556 278 889 611 611 611 611 389 556 333 611 556 778 556 556 500 389 280 389 584 750 556 750 278 556 500 1000 556 556 333 1000 667 333 1000 750 611 750 750 278 278 500 500 350 556 1000 333 1000 556 333 944 750 500 667 278 333 556 556 556 556 280 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 556 278 333 333 365 556 834 834 834 611 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 278 278 722 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Residence Address: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 37.619 459.598 Tm (Street Address )Tj 33.654 0 Td (City )Tj 20.442 0 Td [(State )-2165(Zip Code )]TJ ET EMC /Figure <>BDC BT /TT1 1 Tf 10 0 0 10 318.076 390.362 Tm (8. Non-Resident State: )Tj 8 0 0 8 422.016 390.362 Tm (\(if applicable\) )Tj 10 0 0 10 37.59 414.785 Tm (5. Date of Birth: )Tj 0 -2.442 TD (7. Email Address: )Tj ET EMC /Artifact BMC 36.62 467.787 266.4 16.2 re S 305.855 467.787 160.512 16.2 re S 469.392 467.787 33.746 16.2 re S 506.897 467.787 69 16.2 re S 0 G 1 w 0 J 36.723 382.75 m 576.723 382.75 l S 36.723 407.653 m 576.723 407.653 l S 306.658 431.637 m 306.658 382.677 l S EMC /Figure <>BDC BT /TT1 1 Tf 10 0 0 10 318.076 414.785 Tm (6. Mother's Maiden Name:)Tj ET EMC /Figure <>BDC BT /TT1 1 Tf 8 0 0 8 228.283 413.235 Tm (\(mm/dd/yyyy\) )Tj -7.535 3.894 Td (\(Include )Tj -0.778 -1.147 Td (Area Code\))Tj 10 0 0 10 38.313 439.384 Tm (4. 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Box )Tj 33.642 0 Td (City )Tj 25.221 0 Td (Zip Code )Tj ET EMC /Figure <>BDC BT /TT1 1 Tf 10 0 0 10 37.721 332.856 Tm (10. Employer Name: )Tj 33.975 -0.075 Td (Telephone: )Tj 8 0 0 8 434.893 340.113 Tm (\(Include )Tj -0.778 -1.147 Td (Area Code\) )Tj 10 0 0 10 470.268 310.875 Tm (Nevada )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 36.842 280.349 Tm (11. 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<>BDC BT /TT0 1 Tf 9 0 0 9 105.248 677.218 Tm (2. )Tj ET EMC /LI_Title <>BDC BT /TT0 1 Tf 9 0 0 9 122.762 677.218 Tm (Complete a notary education/training course )Tj /TT1 1 Tf (\(if applicable\) )Tj ET EMC /LI_Label <>BDC BT /TT0 1 Tf 9 0 0 9 105.248 666.894 Tm (3. )Tj ET EMC /LI_Title <>BDC BT /TT0 1 Tf 9 0 0 9 122.762 666.894 Tm (Obtain surety bond and file surety bond )Tj ET EMC /LI_Label <>BDC BT /TT0 1 Tf 9 0 0 9 105.248 656.57 Tm (4. )Tj ET EMC /LI_Title <>BDC BT /TT0 1 Tf 9 0 0 9 122.762 656.57 Tm (Submit all necessary documents & fee )Tj /TT1 1 Tf (to the Secretary of State's Notary Division \(see step 4\) )Tj ET EMC /LI_Label <>BDC BT /TT0 1 Tf 9 0 0 9 105.248 646.246 Tm (5. )Tj ET EMC /LI_Title <>BDC BT /TT0 1 Tf 9 0 0 9 122.762 646.246 Tm (Obtain a notarial stamp and journal )Tj ET EMC /StyleSpan <>BDC BT /TT0 1 Tf 9 0 0 9 28.227 628.041 Tm (STEP 1 - Notary Application )Tj ET EMC /P <>BDC 0.2 g BT /TT1 1 Tf 9 0 0 9 153.23 634.416 Tm (\(all questions must be answered with exception of #3\))Tj ET EMC /StyleSpan <>BDC 0 0 1 rg BT /TT2 1 Tf 9 0 0 9 153.23 624.092 Tm (http://www.nvsos.gov/Modules/ShowDocument.aspx?documentid=521 )Tj ET EMC /LI_Label <>BDC 0 g BT /TT1 1 Tf 9 0 0 9 27.232 610.189 Tm (1. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 610.189 Tm [(You must sign exactly as you want your name to appear on your appointmen\ t. )-278(You must use your full legal last name. )-278(APPLICATIONS)]TJ -0.27 -1.147 Td ( WILL NOT BE PROCESSED WITHOUT ORIGINAL SIGNATURE. )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.232 586.93 Tm (2. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 586.93 Tm (If you are applying or renewing as a "Non-Resident Notary," you must com\ plete and submit the "affidavits" with this application.)Tj -0.27 -1.147 Td ( Download the Affidavits at )Tj ET EMC /StyleSpan <>BDC 0 0 1 rg BT /TT2 1 Tf 9 0 0 9 146.293 576.606 Tm (http://www.nvsos.gov/Modules/ShowDocument.aspx?documentid=519)Tj 0.2 g (. )Tj ET EMC /LI_Label <>BDC 0 g BT /TT1 1 Tf 9 0 0 9 27.232 562.92 Tm (3. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 562.92 Tm [(If you are not a U.S. citizen you must compete and submit the Document V\ erification Request Form. )-278(Download the form at )]TJ ET EMC /StyleSpan <>BDC 0 0 1 rg BT /TT2 1 Tf 9 0 0 9 39.742 552.596 Tm (http://www.uscis.gov/files/form/g-845.pdf)Tj ET EMC /P <>BDC 0.2 g BT /TT1 1 Tf 9 0 0 9 201.301 552.596 Tm (. )Tj ET EMC /P <>BDC 0 g BT /TT1 1 Tf 9 0 0 9 27.232 537.351 Tm (4. )Tj /T1_0 1 Tf (\003)Tj /TT1 1 Tf 1.39 0 Td (If you are renewing your notary appointment, please provide your notary \ commission # and the expiration date of your current)Tj -0.27 -1.147 Td [( appointment. )-270(Both of these can be found on your stamp. )]TJ ET EMC /P <>BDC BT /TT0 1 Tf 9 0 0 9 29.339 507.348 Tm (STEP 2 - Complete Notary Education/Training Course )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.233 493.033 Tm (1. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.743 493.033 Tm (A new notary applicant, a notary whose commission has been expired for m\ ore than 365 days or a renewing notary who has had a)Tj -0.27 -1.147 Td ( violation in the past four years, must attend and successfully complete\ a course of study provided pursuant to NRS 240.018. )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.232 468.113 Tm (2. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 468.113 Tm [(The Nevada Secretary of State's office is the official provider of notar\ y training classes. )-278(Class schedules may be found on the following)]TJ -0.27 -1.147 Td ( website: )Tj ET EMC /StyleSpan <>BDC 0 0 1 rg BT /TT2 1 Tf 9 0 0 9 77.758 457.789 Tm (http://www.nvsos.gov/NotaryTraining/Schedule/ScheduleList.aspx)Tj ET EMC /LI_Title <>BDC 0 g BT /TT1 1 Tf 9 0 0 9 339.865 457.789 Tm [(. )-278(After completion of this class, a Training Certificate will be)]TJ -33.617 -1.147 Td [( issued. )-270(This Training Certificate must be attached to the Notary Application.)]TJ 0.2 g (. )Tj ET EMC /P <>BDC 0 g BT /TT0 1 Tf 9 0 0 9 29.446 427.75 Tm (STEP 3 - Obtain Surety Bond and File Surety Bond )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.232 413.061 Tm (1. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 413.061 Tm [(Notary applicants must provide a surety bond to the State of Nevada in t\ he sum of $10,000 as required by Nevada law. )-278(The bond may)]TJ -0.27 -1.147 Td [( be obtained from any insurance agency offering surety services or a sur\ ety bond agent of your choice. )-270(\(Check the yellow pages of the)]TJ T* [( telephone directory under "Bonds, Surety" or do an internet search.\) )-270(You specify to the Insurance Company the bond effective date you)]TJ T* ( want. )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.232 367.614 Tm (2. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 367.614 Tm [(Once the bond is obtained you must take an oath. )-278(The oath can either be administered by the county clerk or another notar\ y. )-278(A list of)]TJ -0.27 -1.147 Td ( county clerks may be found at the following website: )Tj ET EMC /StyleSpan <>BDC 0 0 1 rg BT /TT2 1 Tf 9 0 0 9 252.34 357.29 Tm (http://www.nvsos.gov/index.aspx?page=163)Tj ET EMC /LI_Title <>BDC 0.2 g BT /TT1 1 Tf 9 0 0 9 428.182 357.29 Tm (. )Tj ET EMC /LI_Label <>BDC 0 g BT /TT1 1 Tf 9 0 0 9 27.232 342.825 Tm (3. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 342.825 Tm [(The surety bond is filed with the county clerk in the county you reside.\ )-278(If you are applying as a Non-Resident notary that is the county)]TJ -0.27 -1.147 Td [( you are employed. )-270(Contact your County Clerk for the current fee to file the bond. )]TJ ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.232 317.313 Tm (4. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 317.313 Tm [(The county clerk shall immediately certify that the bond and oath have b\ een filed and recorded. )-278(The county clerk will return the "Filing)]TJ -0.27 -1.147 Td [( Notice" to the notary applicant. )-270(THIS FILING NOTICE MUST BE ATTACHED TO YOUR NOTARY APPLICATION. )]TJ ET EMC /P <>BDC BT /TT0 1 Tf 9 0 0 9 28.956 286.557 Tm (STEP 4 - Submit Completed Application, Required Documents & Application \ Fee )Tj ET EMC /P <>BDC BT /TT1 1 Tf 9 0 0 9 27.233 270.964 Tm [(1. )-278(Mail all required documents and application fee to: )]TJ /TT0 1 Tf 24.502 -0.054 Td (SECRETARY OF STATE ROSS MILLER )Tj T* (NOTARY DIVISION )Tj T* (101 N. CARSON STREET, SUITE 3 )Tj T* [(CARSON CITY, NV )-278(89701-3714 )]TJ /TT1 1 Tf -23.086 -1.197 Td (Please check that your are sending an ORIGINAL signed Application, plus \ any other supporting document/forms as listed in Section 1 of )Tj T* (these instructions, i.e., Filing Notice, Training Class Certificate \(if\ applicable\), and a $35 application fee. )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.232 204.454 Tm (2. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 204.454 Tm ($35 )Tj 0.2 g (Non-refundable)Tj 0 g ( application fee may be paid via check or money order \(make payable to \ the Nevada Secretary of State\), or via credit)Tj -0.27 -1.147 Td [( card. )-270(If paying by credit card, please complete the credit card checklist and \ submit with your application. )-278(The credit card checklist may)]TJ T* ( be found at the following website: )Tj ET EMC /StyleSpan <>BDC 0 0 1 rg BT /TT2 1 Tf 9 0 0 9 177.82 183.806 Tm (http://www.nvsos.gov/Modules/ShowDocument.aspx?documentid=518)Tj ET EMC /LI_Title <>BDC 0 g BT /TT1 1 Tf 9 0 0 9 458.692 183.806 Tm (. )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.232 169.301 Tm (3. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.742 169.301 Tm [(Processing time is 7-10 business days if application is complete. )-278(Your Notary Certificate of Appointment will be sent to you via regular)]TJ ET EMC /P <>BDC BT /TT1 1 Tf 9 0 0 9 37.3116 158.977 Tm ( U)Tj 0.2 g 0.992 0 Td (.)Tj 0 g (S. Mail. )Tj ET EMC /P <>BDC BT /TT0 1 Tf 9 0 0 9 29.577 140.105 Tm (STEP 5 - To Complete Commission Obtain Notarial Stamp & Journal )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.233 125.762 Tm (1. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.743 125.762 Tm [(Once you receive your Certificate of Appointment you may purchase a nota\ rial stamp from a rubber stamp vendor. )-278(Your Certificate of)]TJ -0.27 -1.147 Td ( Appointment or a certified copy of certificate is necessary to purchase\ a notarial stamp. )Tj ET EMC /LI_Label <>BDC BT /TT1 1 Tf 9 0 0 9 27.233 101.225 Tm (2. )Tj /T1_0 1 Tf (\003)Tj ET EMC /LI_Title <>BDC BT /TT1 1 Tf 9 0 0 9 39.743 101.225 Tm (You will also need to purchase a notary journal required pursuant to NRS\ 240.120 from an office supply store. )Tj ET EMC /P <>BDC BT /TT0 1 Tf 9 0 0 9 87.625 84.694 Tm (PERSONS )Tj ET EMC /StyleSpan <>BDC BT /TT3 1 Tf 9 0 0 9 134.137 84.694 Tm (INELIGIBLE )Tj ET EMC /P <>BDC BT /TT0 1 Tf 9 0 0 9 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Legal Name of Applicant: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 37.648 554.921 Tm (First )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 198.192 554.921 Tm (Middle )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 354.984 554.921 Tm (Last )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 541.68 554.921 Tm (Suffix )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.648 540.544 Tm (2. Mailing Address in Nevada*: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 37.649 512.875 Tm (Street Address or P.O. Box )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 508.673 512.875 Tm (Zip Code)Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 306.881 512.875 Tm (City )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 470.101 524.401 Tm (Nevada )Tj ET EMC /Artifact BMC 0.5 G 0.5 w 36.649 563.854 157.799 16.2 re S 197.195 563.854 154.8 16.2 re S 353.985 563.854 183.6 16.2 re S 539.926 563.854 36 16.2 re S 36.649 521.816 266.4 16.2 re S 305.884 521.816 160.512 16.2 re S 506.925 521.816 69 16.2 re S EMC /P <>BDC BT /TT0 1 Tf 8 0 0 8 37.647 500.363 Tm (*NOTE)Tj /TT1 1 Tf (: If mailing address is the employer address, section 10 must be complet\ ed. )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.619 485.765 Tm (3. Residence Address: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 37.619 459.598 Tm (Street Address )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 306.851 459.598 Tm (City )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 470.387 459.598 Tm (State )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 508.611 459.598 Tm (Zip Code )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 168.007 444.385 Tm (\(Include)Tj -0.778 -1.147 Td (Area Code\) )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 38.313 439.384 Tm (4. Daytime Telephone: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 399.489 439.29 Tm (Work )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 467.781 439.29 Tm (Home )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 533.808 439.29 Tm (Cell )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.59 414.785 Tm (5. Date of Birth: )Tj 8 0 0 8 228.283 413.235 Tm (\(mm/dd/yyyy\) )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 318.076 414.785 Tm (6. Mother's Maiden Name: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.59 390.362 Tm (7. Email Address: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 318.076 390.362 Tm (8. Non-Resident State: )Tj 8 0 0 8 422.016 390.362 Tm (\(if applicable\) )Tj ET EMC /Artifact BMC 36.62 467.787 266.4 16.2 re S 305.855 467.787 160.512 16.2 re S 469.392 467.787 33.746 16.2 re S 506.897 467.787 69 16.2 re S 219.234 436.003 132.004 16.2 re S 112.232 412.155 107.393 16.2 re S 438.27 412.155 138.453 16.2 re S 120.495 386.98 180.899 16.2 re S 476.218 386.98 100.505 16.2 re S EMC /StyleSpan <>BDC BT /TT0 1 Tf 11 0 0 11 239.496 371.792 Tm (GENERAL INFORMATION )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.722 355.485 Tm (9. Is this a requirement of your employment? )Tj /TT3 1 Tf 9 0 0 9 280.015 355.278 Tm (Yes)Tj /TT1 1 Tf ( - provide employer information in section 10. )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 509.432 351.4 Tm (Yes )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 554 351.4 Tm (No )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 37.721 300.348 Tm (Street Address or P.O. Box )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 306.857 300.348 Tm (City )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 508.625 300.348 Tm (Zip Code )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.721 332.856 Tm (10. Employer Name: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 470.268 310.875 Tm (Nevada )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 377.471 332.106 Tm (Telephone: )Tj 8 0 0 8 434.893 340.113 Tm (\(Include )Tj -0.778 -1.147 Td (Area Code\) )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 54.922 264.289 Tm (The above county is: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 36.842 280.349 Tm (11. County where Bond is filed pursuant to NRS 240.030\(1\)d: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 180.299 263.869 Tm (a\) County of residence )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 303.269 263.869 Tm (b\) County of employment of non-resident* )Tj ET EMC /P <>BDC BT /TT1 1 Tf 9 0 0 9 467.6 283.28 Tm (*Non-resident applicants )Tj 0.083 -1.147 Td (must submit appropriate )Tj 0.306 -1.147 Td (affidavits with this form )Tj ET EMC /Artifact BMC 134.833 329.474 237.197 16.2 re S 473.865 329.474 102.005 16.2 re S 36.723 308.537 266.4 16.2 re S 305.855 308.537 160.489 16.2 re S 506.869 308.537 69 16.2 re S 0 G 1 w 457.37 259.756 118.5 34.534 re S 0.5 G 0.5 w 316.015 276.973 127.202 16.2 re S EMC /P <>BDC BT /TT0 1 Tf 11 0 0 11 241.526 245.622 Tm (QUALIFYING QUESTIONS )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.647 229.031 Tm (12. Are you a United States Citizen? )Tj /TT3 1 Tf 9 0 0 9 228.997 228.824 Tm (Yes)Tj /TT1 1 Tf ( - go to question 14 )Tj /TT3 1 Tf 11.954 0 Td (No)Tj /TT1 1 Tf 1.276 0 Td ( - must complete question 13 )Tj ET EMC /Artifact <>BDC 0 G 1 w 0 J 36.751 551.682 m 576.751 551.682 l S 36.751 497.937 m 576.751 497.937 l S 36.751 256.552 m 576.751 256.552 l S 36.751 223.529 m 576.751 223.529 l S 36.751 183.022 m 576.751 183.022 l S 36.751 118.449 m 576.751 118.449 l S 36.751 83.03 m 576.751 83.03 l S 2 J 53.926 186.809 137.245 21.019 re S 264.699 122.981 228.75 23.272 re S 0.6 w 0 J 300.158 126.113 m 322.812 126.113 l S 1 w 36.751 35.79 m 576.751 35.79 l S 0.68 w 258.299 59.445 m 411.854 59.445 l S 1 w 36.723 382.75 m 576.723 382.75 l S 36.723 407.653 m 576.723 407.653 l S 306.658 431.637 m 306.658 382.677 l S 36.723 432.329 m 576.723 432.329 l S 0.83 w 236.614 585.98 m 378.394 585.98 l S 1 w 36.723 297.258 m 576.723 297.258 l S 0.83 w 239.496 370.42 m 373.949 370.42 l S 241.526 244.25 m 377.226 244.25 l S 1 w 37.474 455.615 m 577.474 455.615 l S 45.709 612.96 m 309.71 612.96 l S 36.751 151.529 m 576.751 151.529 l S 36.723 348.976 m 576.723 348.976 l S 1 g 2 J 387.003 740.903 12.6 12.6 re B 387.003 720.632 12.6 12.6 re B 387.003 700.364 12.6 12.6 re B 380.001 436.207 14.4 14.4 re B 448.288 436.207 14.4 14.4 re B 515.027 436.207 14.4 14.4 re B 512.569 364.419 14.4 14.4 re B 553.207 364.419 14.4 14.4 re B 162.051 261.201 14.4 14.4 re B 284.267 261.201 14.4 14.4 re B 512.626 238.717 14.4 14.4 re B 553.263 238.717 14.4 14.4 re B 512.717 203.32 14.4 14.4 re B 553.263 203.32 14.4 14.4 re B 0.5 G 0.5 w 362.857 189.142 120.753 16.2 re S 0 G 1 w 512.626 165.937 14.4 14.4 re B 553.263 165.937 14.4 14.4 re B 512.626 133.665 14.4 14.4 re B 553.263 133.665 14.4 14.4 re B 512.626 99.862 14.4 14.4 re B 553.263 99.862 14.4 14.4 re B 0.5 G 0.5 w 125.155 86.652 124.503 16.2 re S 362.143 86.652 116.252 16.2 re S 0 G 1 w 512.626 64.641 14.4 14.4 re B 553.263 64.641 14.4 14.4 re B 0.5 G 0.5 w 111.223 40.876 116.28 16.2 re S 369.703 40.876 98.254 16.2 re S 0 G 2 w 232.472 697.416 146.999 74.322 re S EMC /P <>BDC 0 g BT /TT1 1 Tf 8 0 0 8 261.499 192.176 Tm (Alien Registration Number: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.647 211.664 Tm (13. If not a U.S. Citizen, are you lawfully admitted for permanent resid\ ence? )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 509.431 225.697 Tm (Yes )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 509.431 189.553 Tm (Yes )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 554 225.697 Tm (No )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 554 189.553 Tm (No )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.647 163.013 Tm (14. Do you possess your civil rights? )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 509.431 153.67 Tm (Yes )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 554 153.67 Tm (No )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.749 106.7 Tm (16. Have you ever been a Nevada Notary? )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.749 137.67 Tm (15. Have you ever been convicted of a crime of )Tj T* (moral turpitude? )Tj ET EMC /P <>BDC BT /TT3 1 Tf 9 0 0 9 292.046 106.495 Tm (Yes)Tj /TT1 1 Tf ( - complete a\) and b\) )Tj ET EMC /P <>BDC BT /TT3 1 Tf 8 0 0 8 273.025 136.287 Tm (Yes)Tj /TT1 1 Tf ( - documentation proving that your civil rights have been )Tj -0.554 -1.147 Td (restored )Tj /TT0 1 Tf (MUST)Tj /TT1 1 Tf ( be attached or your application will be rejected )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 509.43 121.396 Tm (Yes )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 553.999 121.396 Tm (No )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 55.778 89.618 Tm (a\) Notary Number: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 290.498 89.618 Tm (b\) Expiration Date: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 57.28 44.592 Tm (a\) Class Date: )Tj 21.935 0 Td (\(mm/dd/yyyy\) )Tj ET EMC /P <>BDC BT /TT1 1 Tf 8 0 0 8 314.856 44.592 Tm (b\) Class Time: )Tj ET EMC /P <>BDC BT /TT1 1 Tf 10 0 0 10 37.75 72.99 Tm (17. Have you enrolled in and successfully completed an approved course o\ f study pursuant to NRS )Tj T* (240.018? )Tj 9 0 0 9 154.746 60.568 Tm (Yes - complete a\), b\) and )Tj /TT2 1 Tf (attach evidence of class attendance )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 509.431 86.843 Tm (Yes )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 509.431 50.867 Tm (Yes )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 554 86.843 Tm (No )Tj ET EMC /P <>BDC BT /TT1 1 Tf 12 0 0 12 554 50.867 Tm (No )Tj ET EMC /P <>BDC BT /TT3 1 Tf 8 0 0 8 56.965 198.989 Tm (Yes)Tj /TT1 1 Tf ( - complete document verification )Tj 0.388 -1.147 Td (request and submit with application )Tj ET EMC /P <>BDC BT /TT1 1 Tf 7 0 0 7 392.825 28.604 Tm (Nevada Secretary of State Notary Appointment Application )Tj ET EMC /P <>BDC BT /TT1 1 Tf 7 0 0 7 519.658 20.574 Tm [(Revised: )-278(2-25-10 )]TJ ET EMC endstream endobj 1787 0 obj[1924 0 R 1921 0 R 1918 0 R 1916 0 R 1914 0 R 1912 0 R 1910 0 R 1908 0 R 1906 0 R 1904 0 R 1902 0 R 1900 0 R 1898 0 R 1896 0 R 1894 0 R 1892 0 R 1889 0 R 1886 0 R 1883 0 R 1881 0 R 1879 0 R 1877 0 R 1875 0 R 1872 0 R 1869 0 R 1867 0 R 1865 0 R 1863 0 R 1861 0 R 1859 0 R 1857 0 R 1854 0 R 1851 0 R 1848 0 R 1845 0 R 1842 0 R 1839 0 R 1837 0 R 1834 0 R 1831 0 R 1828 0 R 1825 0 R 1822 0 R 1819 0 R 1817 0 R 1815 0 R 1812 0 R 1808 0 R 1806 0 R 1804 0 R 1799 0 R 1793 0 R 1788 0 R] endobj 1788 0 obj<>/AP<>>> endobj 1789 0 obj<>/ProcSet[/PDF/Text]>>/Type/XObject/BBox[0.0 0.0 100.263 11.842]/FormType 1>>stream /Tx BMC q 1 1 98.2635 9.842 re W n BT /TimesNewRomanPSMT 8 Tf 0 g 34.124 3.1211 Td (*250101*) Tj ET Q EMC endstream endobj 1790 0 obj<> endobj 1791 0 obj<> endobj 1792 0 obj<>stream HUy\SW/MǦ,n"; ! 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