Michigan Notary Public Education and Training Fund Form

For Notary Public education and training fund, the following form has to be completed and submitted.

Extracted Text for Proper Search

TRANSMITTAL for MICHIGAN Mail to:
NOTARY EDUCATION and TRAINING FUND Michigan Department of State
7064 Crowner Drive
Lansing, MI  48918
These fees are due within 15 days of the last day of the
month being reported.  Send two copies of this form with
your payment.  Keep a copy for your records.
County Name
Street Address
City and State Zip Code
Contact Person Telephone No.
Check Month of Oct, due Nov 15
one box Month of Nov, due Dec 15
only: Month of Dec, due Jan 15
Month of Jan, due Feb 15
Month of Feb, due Mar 15
Month of Mar, due Apr 15
Month of Apr, due May 15
Month of May, due Jun 15
Month of Jun, due Jul 15
Month of Jul, due Aug 15
Month of Aug, due Sep 15
Month of Sep, due Oct 15
Total Notary Education and Training Fund Fees Collected and Submitted ………….
I certify that the information provided is correct and in compliance with 
the provisions of P.A. 238 of 2003 (MCL 55.273).
Signature of Preparer Date
WEB-001	
TRANSMITTAL FORM INSTRUCTIONS:
1. Fill in the identification information 
requested in the table at the top of the form, 
including County Name, Street Address, 
City and State, and Zip Code
2. List the name and phone number of an 
appropriate contact person where 
requested on the form.
3. Check the appropriate box to indicate the 
month for which fees are being submitted.
4. Write in the amount that the County has 
collected and is submitting to the State on 
the appropriate line on the lower right side 
of the form.
5. The form preparer must sign and date 
the form to certify that the information on 
the form is correct and in compliance with 
the Notary Public Act.
6. Send the original and one additional cop	
y	
of the form along with your payment to the 
address in the top right corner of the form.  
Keep a copy of the form for your records.
FORM INSTRUCTIONS:
1. Fill in the identification information 
requested at the top of the form, including 
County Name, Street Address, City and 
State, and Zip Code
2. List the name and phone number of an 
appropriate contact person where 
requested on the form.
3. Check the appropriate box to indicate the 
month for which fees are being submitted.
4. Write in the amount that the County has 
collected and is submitting to the State on 
the appropriate line on the lower right side 
of the form.
5. The form preparer must sign and date 
the form to certify that the information on 
the form is correct and in compliance with 
the Notary Public Act.
6. Send the original and one additional cop	
y	
of the form along with your payment to the 
address in the top right corner of the form.  
Keep a copy of the form for your records.