Nevada Administrative Code
Chapter 240 - Notaries Public
APPLICATIONS FOR APPOINTMENT
Section 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
Current through September 16, 2024
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
Added to NAC by Sec'y of State by R175-97, eff. 1-20-98
NRS 240.017
