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The form requests SSN or ITIN, date of birth, identification number, legal name details, contact information, and addresses without abbreviations for county/city. It also collects background disclosures on liability, professional licensing or commission status, criminal convictions, pending arrests or citations, and child support arrears status. Includes signature attestation requirements (no digital signatures) and instructions for attaching a required 2”x2” passport photograph plus supporting documents, along with a privacy notice under California law.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/notary-public-application-secretary-of-state/306615/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/notary-public-application-secretary-of-state/306615.png","ImageObject",442,249,{"name":88,"@type":89},"Lute","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information is required in the Applicant’s Information section?","Question",{"text":109,"@type":110},"The form requires SSN or ITIN, date of birth, driver’s license or identification number, full legal name fields, previous names, email address, and phone number.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What does the application require for the Commission Name?",{"text":114,"@type":110},"Applicants must print the commission name exactly as they want it shown, and the legal last name must match the last name shown in the earlier applicant information section.",{"name":116,"@type":107,"acceptedAnswer":117},"Are digital signatures accepted for this Notary Public Application?",{"text":118,"@type":110},"No. The form states that digital signatures are not accepted and requires signature and date fields for execution.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},306615,1790439800,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},137454149569,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| | Secretary of State\u003Cbr>Notary Public Application\u003Cbr>Important – Read instructions before completing this\u003Cbr>application. | App ID (For SOS Use Only)\u003Cbr>Status:  Corrections  LSP  INV  Future  |\n| --- | --- | --- |\n\n1. Applicant’s Information  \nPrint Form  \nClear Form  \n\n| a. Social Security Number or Individual Taxpayer Identification Number  SSN\u003Cbr> ITIN |  | b. Date of Birth (MM/DD/YYYY) |  | c. Driver’s License or Identification Number |  |\n| --- | --- | --- | --- | --- | --- |\n| d. Full Legal Name: First Name | e. Middle Name  NMN |  | f. Last Name |  | g. Suffix |\n| h. List All Name(s) Previously Used |  |  |  |  |  |\n| i. Email Address |  |  | j. Phone Number |  |  |\n\n2. Commission Name Print your name exactly as you want it shown on your commission. Your legal last name must match the last name shown on your commission.  \n\n| a. First Name | b. Middle Name (Optional) | c. Last Name (Must match 1f. and 1g. ) | d Suffix |\n| --- | --- | --- | --- |\n\n3. Applicant’s Business and Residence Information Do not use abbreviations in the California County and City fields.  \n\n| a. Name of Principal Place of Notary Business  Self-Employed | b. California County Where Business in [3c. is](3c. is) Located (No abbreviations) |  |  |\n| --- | --- | --- | --- |\n| c. Physical Business Location Address (Do not list a P.O. Box or commercial mailbox. ) | City (No abbreviations) | State\u003Cbr>CA | Zip Code |\n| d. Mailing Address, if different than item 3c. | City (No abbreviations) | State | Zip Code |\n| e. Residence Address (Do not list a P.O. Box or commercial mailbox. ) | City (No abbreviations) | State\u003Cbr>CA | Zip Code |\n\n4. Background Information Indicating yes to any items below, requires additional information to be provided. Full disclosure is mandatory, including out of state history.  \na. Have you ever been held liable by any court in any lawsuit based on fraud or misrepresentation, failure to discharge the duties of a notary public, or violation of state regulatory law?  \n No  Yes, provide all details:  b. Have you ever had a professional license or notary public commission denied, revoked, restricted, resigned or suspended?  \n No  Yes, provide all details:  c. Have you ever been convicted by any court of a citation, misdemeanor, or a felony?  \n No  Yes, provide all details on page 3.  \nd. Do you have any pending arrest(s) or citation(s) for an offense for which a resolution is pending?  No  Yes, provide all details on page 3.  \ne. Are you in arrears of child support payments pursuant to CA Family Code section 17520 and/or DCSS regulations?  No/Not Applicable  Yes  \n5. Signature and Execution Note: Digital signatures are not accepted.  \n\n| • I understand that any misstatements or omissions of material facts will result in the denial of my Notary Public Application or revocation of my notary public commission and possible criminal liability.\u003Cbr>• I declare that I am a legal California resident, or I am a federal civil service employee who is a United States citizen being appointed and commissioned on behalf of a military reservation.\u003Cbr>I certify under penalty of perjury under the laws of the State of California that the foregoing and attachments are true and correct.\u003Cbr>Signature:   Date:   | For Filing Officer Use Only |\n| --- | --- |\n\nDo Not Print Double-Sided  \n\n| Secretary of State\u003Cbr>Notary Public Application | App ID (For SOS Use Only) |\n| --- | --- |\n\n6. Applicant’s Passport Photograph  \n\n| 􀁸 Print or attach a 2”x2” color passport-style photograph in the box to the right.\u003Cbr>􀁸 To secure an attached photograph, use clear tape on all four edges so the photograph is securely fastened to the page. Do NOT staple.\u003Cbr>􀁸 Complete the form below. All fields are required.\u003Cbr>􀁸 Attach this completed form, your proof of education completion certificate (3-hour or 6-hour course), and your application payment to the Notary Public Application.\u003Cbr>􀁸 Do not print this page double-sided. |  | a. Photo\u003Cbr>Attach Photo Here |  |  |\n| --- | --- | ","cbCaituA8f8bQkJg","https://ap.wps.com/l/cbCaituA8f8bQkJg","pdf",332416,"English","# Applicant’s Information\n# Commission Name\n# Applicant’s Business and Residence Information\n# Background Information Indicating\n# Signature and Execution\n# Applicant’s Passport Photograph\n# Privacy Notification","[{\"question\":\"What information is required in the Applicant’s Information section?\",\"answer\":\"The form requires SSN or ITIN, date of birth, driver’s license or identification number, full legal name fields, previous names, email address, and phone number.\"},{\"question\":\"What does the application require for the Commission Name?\",\"answer\":\"Applicants must print the commission name exactly as they want it shown, and the legal last name must match the last name shown in the earlier applicant information section.\"},{\"question\":\"Are digital signatures accepted for this Notary Public Application?\",\"answer\":\"No. The form states that digital signatures are not accepted and requires signature and date fields for execution.\"}]","Notary Public Application - Secretary of State | PDF",1789838953]