Nev. Admin. Code § 240.262 - Nonresident applicant for appointment as notary public: Form of affidavit setting forth address of applicant's residence and place of business or employment

The following form must be used by an applicant for appointment as a notary public who resides in an adjoining state if the applicant is not self-employed:

NONRESIDENT NOTARY PUBLIC

AFFIDAVIT OF APPLICANT

STATE OF.............................

COUNTY OF........................

I, ....................(Name of Applicant)...................., being first duly sworn, state upon personal knowledge and under penalty of perjury as follows:

1. The address of my residence is...............................................................................................

............................................................................................................................................................

2. I am employed by....................................................................................................................

3. The address of my place of employment is.............................................................................

............................................................................................................................................................

4. The telephone number at my place of employment is.............................................................

DATED this..........(day) of....................(month) of......(year)

....................................................................................

Signature of Applicant

Signed and sworn to before me on.......(date).......by..........(Signature of Applicant).........................

....................................................................................

Signature of Notary Public

Notes

Nev. Admin. Code § 240.262

Added to NAC by Sec'y of State by R175-97, eff. 1-20-98

NRS 240.017