Connecticut Notary Public

$80.00

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Are you a New Notary Public or are you Renewing an Existing Commission?*

New Notary Public Bond

Renewal Notary Public Bond

Business Name

Business Address*

Street Address Address Line 2 City State ZIP Code

Business Phone

Business Email

Which address would you like made public?

Home

Business

Other

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth:*

MM slash DD slash YYYY

Driver’s License or State ID: State*

Driver’s license #*

Driver’s license issue date*

MM slash DD slash YYYY

Driver’s license expiration date*

MM slash DD slash YYYY

Gender

Town of Legal Residence If you have ever been or are now currently a notary public in another state or jurisdiction, has your commission ever been revoked or suspended for official misconduct during the last 5 years?

Yes

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If YES, please give state or jurisdiction and the reason for revocation or suspension. (If more space is needed, attach an additional sheet)

File

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Have you had any criminal convictions in the last 10 years? (Do not include traffic violations) (Check one)

Yes

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If YES, please give date, charge, town, court and disposition of conviction. (If more space is needed, attach an additional sheet)

File

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Notarial Law and Practices Knowledge Examination

The following questions are designed to familiarize you with situations commonly faced by Maine Notaries Public. Your answers will provide a partial basis to grant or deny your request to be commissioned. You may consult the Notary Public Handbook or other reference materials to assist you in answering these questions.

1. You are asked to notarize a document, what steps would you take?

2. A Notary Public commissioned in the State of Maine may perform duties outside of this State.

True

False

3. It is considered a conflict of interest to perform a notarial act, other than a marriage, for an immediate family member

True

False

4. Which forms of identification are acceptable to verify identity when performing a notarization? (Check all that apply)

State issued driver’s license

Passport

Social Security Card

Military ID

Credit card

Birth Certificate

Movie Club Card

5. As an employee, you may not notarize any documents for your employer or its customers.

True

False

6. If you receive a direct benefit for the completion of a particular transaction, you may not notarize any documents for that transaction.

True

False

7. As a Notary Public, you are asked to perform a wedding ceremony. Which of the following must occur when solemnizing the marriage? (Check only one)

A minister must witness and sign the documents.

The Municipal Clerk must witness the ceremony and sign as the person performing the ceremony.

The Secretary of State must sign the license.

You sign the marriage license as the person performing the ceremony.

8. Of the following, which records are you required to keep? (Check all that apply)

All notarial acts

All weddings

All requests for your services, even if you do not perform the service

None of the above.

9. After appointment to the office of Notary Public, you are required to be sworn into office by which of the following officials before performing any notarial acts:

Lawyer

Notary Public

Dedimus Justice

Municipal Clerk

10. The personal appearance of the individual requesting your service is required in order for you to perform a notarial act

True

False

11. A Notary Public can "certify" a public record document such as a birth certificate

True

False

12. What is the best way to limit your liability and protect the person requesting your service? (Check all that apply)

Make a mental note of the transaction.

Make a photocopy of the notarized document.

Keep a bound record book with the details of the transaction.

None of the above.

13. Of the following, which is the proper way to accept an acknowledgement? (Check all that apply)

By telephone

By personal appearance

By fax

By e-mail

None of the above

14. Your employer can regulate when you can perform notarial acts during employment hours.

True

False

15. In which of the following situations are you, as a Notary Public allowed to give legal advice? (Check all that apply)

Never, unless you are an attorney.

When you prepare a legal document.

When you know the information you give is correct.

16. When completing a marriage license, you must use a black ink pen.

True

False

17. Match the following words with the correct definition. (Enter a letter in the appropriate blank below.)
a. Jurat
b. Acknowledgement
c. Oath
d. Affirmation
e. Affidavit

A formal declaration before a notary public by a person signing a document that the execution of the document is his /her free act and deed.

A written statement of facts made voluntarily and confirmed by the oath or affirmation of the party making it before an officer authorized to administer oaths (like a notary public.)

A formal declaration under penalty of perjury that certain statements are true. This is equivalent to and may be substituted for an oath.

Any form of attestation or pledge by which a person signifies that he or she is bound in conscience and out of a sense of responsibility to a Supreme Being to the truthfulness for some statements.

A written notarial statement by the notary public indicating that the document was sworn or affirmed to by the signer on any sworn statement or affidavit.

18. The use of an embossing seal is optional for a notary public commissioned in this State.

19. Someone presents you with a document to notarize which contains blank spaces; you should (Check all that apply)

Make a note in your record book

Leave it up to the signer whether to leave blanks or not Insert your name as the notary in these blank spaces

Advise the signer of the consequences of leaving blanks

None of the above

Has your Name or Address changed since your last commission?

No Changes

Name Change

Address Change

Name and Address Change

If your name changed, please explain if it was due to marriage or divorce or other*

If your address changed, please enter new address:*

If your address changed, please list date of address change:*

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Connecticut Notary Public

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