I, ___(name of endorser)___ , being 18 years of age or older and a legal resident of ___(name of county)___ , believe the applicant for a notary public commission, ___(name of applicant)___ , who is not related to myself, to be a person of integrity, of good moral character, and capable of performing notarial acts. I have known the applicant for one month or more.
__________________ | __________________ |
(Signature of endorser) | (Date) |
__________________ | |
(Address of endorser) | |
__________________ | |
(Telephone number of endorser) |
I, ___(name of applicant)___ , do solemnly swear or affirm under penalty of perjury that the personal information I have written in this application is true, complete, and correct.
__________________
(Signature of applicant)
State of __________________
County of __________________
On this __________________ day of __________________, __________________, before me appeared, __________________, the person who signed the preceding declaration of applicant in my presence and who swore or affirmed that ___(he/she)___ understood the document and freely declared it to be truthful.
__________________
(Official signature of the notary)
(Official seal of the notary)
OCGA § 45-17-2.1