The following form must be used by the employer 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 EMPLOYER OF APPLICANT
STATE OF.............................
COUNTY OF........................
I, ....................(Name of Employer)...................., being first duly sworn, state upon personal knowledge and under penalty of perjury as follows:
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DATED this..........(day) of....................(month) of......(year)
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Signature of Employer
Signed and sworn to before me on .......(date).......by..........(Signature of Employer)........................
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Signature of Notary Public
Nev. Admin. Code § 240.264
NRS 240.017