"Application/Renewal for Notary Public" - South Carolina

Application/Renewal for Notary Public is a legal document that was released by the South Carolina Secretary of State - a government authority operating within South Carolina.

Form Details:

  • Released on December 1, 2018;
  • The latest edition currently provided by the South Carolina Secretary of State;
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For delegation office
use only
__________________
Application/Renewal for Notary Public
Date received
S
S
C
TATE OF
OUTH
AROLINA
__________________
Check number
O
S
S
FFICE OF THE
ECRETARY OF
TATE
T
H
M
H
HE
ONORABLE
ARK
AMMOND
New _______Renewal _______
Notary Public Application and Renewal Instructions
1. Carefully type or print legibly all information requested on the top portion of your application and sign in the presence of a notary public. (The
bottom portion is to be completed by your County Delegation, whose addresses are provided at the end of the application.)
2. Attach a check or money order to your original application in the amount of $25.00 payable to “SC Secretary of State.”
3. Mail both pages of your original application and check/money order to your county delegation office listed at the end of this application for the
required signatures. Your delegation office will forward your application and check/money order to the Secretary of State’s Office.
4. You must be a registered voter to become a notary public. If you do not know your voter registration number, call your County Voter
Registration and Election Commission for this information. You can also check your voter registration number at www.scvotes.org.
5. If your commission has not yet expired, you may file your application as a renewal.
To: Governor of the State of South Carolina
I respectfully petition to be appointed Notary Public for this State, and for your information, I herewith submit the following:
PLEASE PRINT
Name ______________________________________________________________________________________________________
*If you are renewing your commission, please note that if your name or home address has changed since the issuance of your current commission,
you must file the Change of Status form regarding these changes prior to renewing your commission.
Home Street Address ____________________________________City ________________________ Zip Code _________________
*You must be a registered voter at the home address provided on this application.
Mailing Address (if different from home address)________________________________ City ________________________ Zip Code ___________
County _________________ Last 4 Digits of your Social Security # ___ ___ ___ ___ Sex ____ Date of Birth _____/______/______
Voter Registration # __________________________
(Voter Registration Number may be obtained from your County Voter Registration and Election Office or the State Election Commission.)
(____)______________________
Telephone #
E-mail__________________________________________________________
Mail application to delegation for required signatures (addresses and telephone numbers are on the front of the application).
This section must be completed by your Legislative Delegation. Please choose one of the three options.
We, the _______________________________________Delegation, recommend the appointment of the above named applicant.
(
County)
1)
2)
________________________________________________
____________________________________________________
Signature of the Delegation Chairman OR Secretary
Signature of Senator / Senate District #__________________
___________________________________________________
Signature of House Member / House District # ______________
3)
Signed by at least half of the present Legislative Delegates from applicant’s county of residence:
______________________________________
_________________________________________
______________________________________
_________________________________________
______________________________________
_________________________________________
______________________________________________
_________________________________________________
For delegation office
use only
__________________
Application/Renewal for Notary Public
Date received
S
S
C
TATE OF
OUTH
AROLINA
__________________
Check number
O
S
S
FFICE OF THE
ECRETARY OF
TATE
T
H
M
H
HE
ONORABLE
ARK
AMMOND
New _______Renewal _______
Notary Public Application and Renewal Instructions
1. Carefully type or print legibly all information requested on the top portion of your application and sign in the presence of a notary public. (The
bottom portion is to be completed by your County Delegation, whose addresses are provided at the end of the application.)
2. Attach a check or money order to your original application in the amount of $25.00 payable to “SC Secretary of State.”
3. Mail both pages of your original application and check/money order to your county delegation office listed at the end of this application for the
required signatures. Your delegation office will forward your application and check/money order to the Secretary of State’s Office.
4. You must be a registered voter to become a notary public. If you do not know your voter registration number, call your County Voter
Registration and Election Commission for this information. You can also check your voter registration number at www.scvotes.org.
5. If your commission has not yet expired, you may file your application as a renewal.
To: Governor of the State of South Carolina
I respectfully petition to be appointed Notary Public for this State, and for your information, I herewith submit the following:
PLEASE PRINT
Name ______________________________________________________________________________________________________
*If you are renewing your commission, please note that if your name or home address has changed since the issuance of your current commission,
you must file the Change of Status form regarding these changes prior to renewing your commission.
Home Street Address ____________________________________City ________________________ Zip Code _________________
*You must be a registered voter at the home address provided on this application.
Mailing Address (if different from home address)________________________________ City ________________________ Zip Code ___________
County _________________ Last 4 Digits of your Social Security # ___ ___ ___ ___ Sex ____ Date of Birth _____/______/______
Voter Registration # __________________________
(Voter Registration Number may be obtained from your County Voter Registration and Election Office or the State Election Commission.)
(____)______________________
Telephone #
E-mail__________________________________________________________
Mail application to delegation for required signatures (addresses and telephone numbers are on the front of the application).
This section must be completed by your Legislative Delegation. Please choose one of the three options.
We, the _______________________________________Delegation, recommend the appointment of the above named applicant.
(
County)
1)
2)
________________________________________________
____________________________________________________
Signature of the Delegation Chairman OR Secretary
Signature of Senator / Senate District #__________________
___________________________________________________
Signature of House Member / House District # ______________
3)
Signed by at least half of the present Legislative Delegates from applicant’s county of residence:
______________________________________
_________________________________________
______________________________________
_________________________________________
______________________________________
_________________________________________
______________________________________________
_________________________________________________
Application/Renewal for Notary Public
S
S
C
TATE OF
OUTH
AROLINA
O
S
S
FFICE OF THE
ECRETARY OF
TATE
T
H
M
H
HE
ONORABLE
ARK
AMMOND
[ ]
By checking this box, I hereby certify that I can read and write the English language.
OATH OF NOTARY PUBLIC
I do solemnly swear (or affirm) that I am duly qualified, according to the Constitution of South Carolina, to
exercise the duties of the office to which I have been appointed and that I will, to the best of my ability,
discharge the duties thereof and preserve, protect and defend the Constitution of this State, and of the United
States. So help me God.
Print Name _______________________________
Sworn to and subscribed before me
This _________ day of _____________, 20_____
In the presence of a notary, please sign your name as
printed above.
________________________________________
Notary Public of South Carolina
____________________________
___________
Signature of Applicant
Date
________________________________________
Printed Name
Your printed name and signature above must match.
My Commission Expires ____________________
If this is a renewal application, your name as printed above
must match your name as previously commissioned.
Please sign and print your name above exactly as you will sign
when you notarize documents.
PLEASE READ- IMPORTANT INFORMATION
Pursuant to S.C. Code of Laws §26-1-90 (K) and (J), a notary public who is not a licensed attorney may not provide a service
that would constitute the unauthorized practice of law. More specifically, a notary cannot claim to have powers, qualifications, rights or
privileges that a notary does not have.
Unless you are a member of the South Carolina Bar or otherwise authorized to perform prescribed legal activities by action of
the South Carolina Supreme Court, you are prohibited from the practice of law.
The following are activities that are considered the practice of law in South Carolina:
1. Drafting or completing a record or transaction that requires a notarial act;
2. Selecting or helping a person understand a record or transaction requiring a notarial act;
3. Preparation of legal documents;
4. Giving legal advice or answering legal questions;
5. Appearing in court on behalf of someone else;
6. Performing a real estate or mortgage loan closing; and
7. Title search and preparation of title documents.
These activities must not be performed without an attorney’s supervision. Pursuant to S.C. Code of Laws §40-5-310, a person
who engages in the unauthorized practice of law is guilty of a felony and, upon conviction, must be fined not more than $5,000 or
imprisoned not more than 5 years, or both. This is the penalty per offense.
Form Revised by South Carolina Secretary of State, December 2018
Legislative Delegation Offices
Aiken County Delegation
1930 University Parkway
Fairfield County Delegation
Orangeburg County
Ste. 3600A
P.O. Box 60
Delegation
Aiken, South Carolina 29801
Winnsboro, SC 29180
PO Box 9000
Phone (803) 642-1694
Phone (803)-815-4037
Orangeburg, SC 29116
Phone (803) 533-6106
Anderson County Delegation
Florence County Delegation
P.O. Box 8002
180 N. Irby Street, MSC-G
Pickens County Delegation
Anderson, SC 29622
Florence, SC 29501
201 S. Fifth St.
Phone (864) 260-4025
Phone (843) 665-3044
West End Hall, Rm. 205
Easley, SC 29640
Beaufort County Delegation
Georgetown County Delegation
Phone (864) 850-7070
P.O. Box 1228
P.O. Drawer 421270
Beaufort, SC 29901
Georgetown, SC 29442
Richland County Delegation
Phone (843) 255-2260
Phone (843) 545-3029
P.O. Box 192
Columbia, SC 29202
Berkeley County Delegation
Greenville County Delegation
Phone (803) 576-1908
P.O. Box 142, Suite 203
301 University Ridge, Suite 2400
Columbia, SC 29202
Greenville, SC 29601
Spartanburg County Delegation
Phone (803) 212-6400
Phone (864) 467-7112
366 N. Church Street, Rm. 1210
Spartanburg, SC 29303
Charleston County Delegation
Hampton County Delegation
Phone (864) 596-2529
P.O. Box 190016
P.O. Box 686
North Charleston, SC 29419-9016
Hampton, SC 29924
Phone (843) 740-5855
Phone (803) 914-2142
Sumter County Delegation
c/o The Honorable J. David Weeks
Chester County Delegation
Horry County Delegation
35 South Sumter Street
104 McAliley Street
P.O. Box 1236
Sumter, SC 29150
P.O. Box 580
Conway, SC 29528
Phone (803) 775-5856
Chester, SC 29706
Phone (843) 915-5130
Phone (803) 581-0233
York County Delegation
Jasper County Delegation
858 Riverview Road
Chesterfield County Delegation
P.O. Box 2433
Rock Hill, SC 29730
178 Mill Street
Ridgeland, SC 29936
Phone (803) 366-0445
Chesterfield, SC 29709
Phone (843) 726-6019
Phone (843) 623-5001
Kershaw County Delegation
*If your County Delegation
Colleton County Delegation
632 W. DeKalb St., Suite 204
P.O. Box 2103
is not listed, forward your
Camden, SC 29020
Walterboro, SC 29488
Phone (803) 432-0858
application to:
Phone (843) 549-7586
South Carolina House of
Lexington County Delegation
Representatives
Darlington County Delegation
605 West Main Street, Suite I
P.O. Box 11867
P.O. Box 1200
Lexington, SC 29072
Hartsville, SC 29551
Columbia, SC 29211
Phone (803) 785-8184
Phone (843) 339-3000
Phone (803) 734-2010
Marion County Delegation
Dillon County Delegation
P.O. Box 1514
240 Bermuda Road
Marion, SC 29571
Dillon, SC 29536
Phone (843) 423-8237
Phone (843) 841-3679
Marlboro County Delegation
Dorchester County Delegation
P.O. Box 1200
500 N. Main Street, Suite 2
Hartsville, SC 29551
Summerville, SC 29483
Phone (843) 339-3000
Phone (843) 832-0043
Oconee County Delegation
Edgefield County Delegation
415 S. Pine Street
1930 University Parkway
Walhalla, SC 29691
Suite 3600-A
Phone (864) 638-4237
Aiken, SC 29801
Phone (803) 642-1694
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