Maryland Notary Public Application Form

In the case of filing for a Notary Public in the State of Maryland, the Maryland Notary Public Application Form has to be completed and submitted along with a $20 fee.

Extracted Text for Proper Search

Revised 9/2012 
  NOTARY APPLICATION 
OFFICE OF THE SECRETARY OF STATE 
STATE HOUSE, ANNAPOLIS, MARYLAND 21401  
Email: 
[email protected]  or call (888) 874-
0013   
 
 
 
 
 
 
 
PLEASE READ APPLICATION CAREFULLY AND PRINT CLEARLY .  FAILURE TO PROVIDE ALL OF THE 
INFORMATION REQUESTED WILL RESULT IN THE DENIAL OF YOUR APPLICATION WITH NO FURTHER 
CONTACT FROM THIS OFFICE. 
  
Maryland Residents:
 Call the Elections Office in the county in which you reside or City of Baltimore or visit the website:  www.mdelect.net  
 to find the information requested below, and complete the  following: I am a resident of the _____ Legislative District
, ______________________  County or Baltimore City____, represented by State Senator _________
___________.  
N
on-Residents:   I  request to be commissioned in _________ __________County or Baltimore City____.  
  Please check the box to the left if you d o not  want your name and email shared with businesses. 
 
PLEASE PRINT ALL INFORMATION:  Legal name as it should appear on your commission.                                   
      Date of Birth :  
Permanent Home Address, City, State, Zip   Social S ecurity #  
    -              -  
Home /Cell  Phone:                                               Email (recommended)
: Name of employer /Self - employed                                                                                                                                     
  Occupation                                                         
Work  Address, City, State, Zip                                                                                          Work Phone  
 
Have you ever had a Notary Public comm ission revoked in any   state?    Yes ___    No ___      
 
Have you ever been convicted of a crime ? Yes __  No__  
 
Have you ever  had any civil judgme nts against you? Yes___ No___  
 
If yes   to any or all questions , please explain the nature of offense and/or civil judgme nt and the date of 
oc currence on a separate sheet of paper and attach to this application.  
 
 
If you have changed your name since you were commissioned, indicate old name ________ ______________ __
   
If your address changed since you were commissioned, indicate new county if this   applies: _________ _______  
 
-OVER- TYPE OF APPLICATION:  
NEW __    RENEWAL __  
 
Note: If renewing, place notary seal 
next to the “Office Use Only” box.  To apply for your Maryland notary public commission, complete and return\
 this application to the above 
address along with a copy of your driver's license or valid government i\
ssued photo ID verifying your 
address and a non-refundable $20.00 fee by check or money order made pay\
able to the Secretary of State. 
Please note that applications not accompanied by the processing fee will\
 NOT be processed. Please do 
NOT staple your fee to this application.  There will be a $25.00 fee for\
 all returned checks. Any questions 
email us at [email protected] or call (410) 974-5520.

References: List 
3 Maryland residents  (not family members or employer) who may be contacted to 
attest to your character. (Optional for renewals)  
  Name:  
  Email
 (recommended):   
Street Address:  
  Phone:   Male  
      Female  
City:   Mar yland   Zip:  
Name:  
  Email (recommended)
: Street Address:  
  Phone:    
 
City:   Maryland   Zip:  
Name:  
  Email
 (recommended):  Street Address:  
  Phone:    
 
City
:  Maryland   Zip:  
 
PLEASE READ AND INITIAL EACH STATEMENT. 
 
A Maryland Notary Public must 
be familiar with and understand “ The Handbook for Maryland Notaries Public
” in its entirety. The handbook is located at the following website:  www.sos.state.md.us  
   
A notary must always be completely satisfied with the identity of the person whose signature is being 
notarized. A notary is not obligated to notarize a person’s signature without being sure that the person is 
who he or she claims to be. Always check identification and be satisfied that the ID is valid. 
 
A notary is 
not authorized  to perform marriages, certify birth, marriage/death certificates or any act that 
constitutes the practice of law. A notary is not an attorney and cannot practice as one. 
             A notary must notify the Secretary of State 
of any changes to the information provided on this              application in writing. 
 
A notary must always keep a fair registry book no matter how many or few notaries they perform.
  
A notary must contact the notary division if you are performing e-notarizations. Additional information 
must be provided. Call or email office at 410-974-5520 or  [email protected]  . 
 
Do you read and write English? Yes ___ No ___. If no, please specify your primary language_________ 
 
Are you a registered voter in Maryland?  Yes____ No____. If no, what state? _________________ 
 
The maximum f
ee by law a notary can charge is $2.00 per notarial act. 
 
  You  will  receive  a  postcard  notifying  you  to  pick  up  your  commission  at  the  Circuit  Court  in  your  county. 
When you receive the postcard, you must appear before the Clerk of the Circuit Court within 30 days to  be 
sworn  in  for  your  new  term.  Failure  to  be  sworn  in  within  30  days  will  result  in  the  revocation  of 
the appointment and commission . You will pay the Clerk a commissioning fee of $11.00 
    I SOLEMNLY AFFIRM under penalties of perjury and upon personal knowledge that the  contents of 
this application are   true.    
______________________ ________ ____________________________________  
Signature                                                                                                                            Date  
ATTACH A COPY OF DRIVER’S LICENSE
, OR VALID GOVERNMENT PHOTO I.D. VERIFYING 
YOUR ADDRESS; AND THE $20.00 FEE WITH APPLICATION                                
 
 
 
 
 
 
 
  For Senator Use  
 
References contacted?     __ Y _ _N                 Verified employment?  __Y __ N                                               
 
Background checked?   __ Y __ N              APPROVED ____     DENIED ____  
 
______________________________________________  
SENATOR’S SIGNATURE   
 
___________________________________________________ ________
State Senator                      Legislative District                                      Date    
 
 
 
 
 
For renewals, place 
seal here