Form Acln-3 - Alabama Civil-Law Notary Annual Report - Alabama Secretary Of State printable pdf download

Form Acln-3 - Alabama Civil-Law Notary Annual Report - Alabama Secretary Of State

ALABAMA CIVIL-LAW NOTARY

Office of the Secretary of State

ANNUAL REPORT

Alabama Civil-law Notaries

Form ACLN-3

Effective xxxxxx xx, xxxx

Full Name:

(Last)

(First)

(Middle)

Business Address:

(Street)

(City)

(State)

(Zip Code)

Business Phone: (

)

Please provide the name and business address (P.O. Box or Mail Drop Box not acceptable) of an Alabama Civil-

Law Notary who has agreed to take custody of your protocol in the event your appointment is ever suspended or

revoked, or you die or become incapacitated:

Please attach to this application an application processing fee in the amount of $100.00.

CERTIFICATION

I hereby certify that the information indicated on this application is true and accurate and that I understand

any false statements herein constitute a violation of §13A-10-102, Code of Alabama (1975). I further certify

that I am eligible to be appointed an Alabama Civil-law Notary, and that my name appears on this application

as an Alabama Civil-law Notary.

(Print or Type Legal Signature of Applicant)

(Legal Signature of Appointee as it will appear on notarial acts)

(Date)

Office of Secretary of State

P.O. Box 5616

Montgomery, Alabama 36103-5616

Form Acln-3 - Alabama Civil-Law Notary Annual Report - Alabama Secretary Of State