Louisiana > Secretary Of State > Notary Division
Notary Public Examination Application - Louisiana
| Notary Public Examination Application Form. This is a Louisiana form and can be used in Notary Division Secretary Of State . |
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NOTARY PUBLIC EXAMINATION REGISTRATION Instructions: Complete this form in its entirety and send it along with the Application to Qualify to the Secretary of State's office. The Examination Registration fee is $75 and the Application to Qualify fee is $25. Both must be filed with the Secretary of State's office no later than 45 days prior to the date of the examination. Forms can be filed via mail, fax or email. The Credit Card Cover Sheet must accompany fax or email filings. Make checks payable to Secretary of State. This registration and fee is non-refundable and non-transferable. The information on this form and the disposition of the examination is public record (except for your social security #). Applicant's Parish of Residence: Applicant's Name: Applicant's Mailing Address: zip: Applicant's Phone Numbers: daytime: DOB Email Address ( ) home: ( ) Applicant's Social Security #: (last 4 digits only) Examination Date: I understand that this registration and fee is non-transferable and non-refundable. Applicant's Signature (required) ________________________________________________ Applicant's Notary I.D. # (if applicable) __________________________________________ (Commissioned notaries do not have to file an Application to Qualify) (Check all that apply): Examination fee of $75.00: check Application fee of $25.00: money order cashier's check credit card (cover sheet required) check money order cashier's check credit card (cover sheet required) Date Approved by Secretary of State: Mail to: Secretary of State Notary Division P.O. Box 94125 Baton Rouge, LA 70804 Physical Address: 8585 Archives Avenue Baton Rouge, LA 70809 Email: notaries@sos.la.gov Fax: 225.932.5359 Notary Exam Registration (updated 1/12) Prepared and Furnished by the Secretary of State American LegalNet, Inc. www.FormsWorkFlow.com
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