NOTARY PROS
Notary Pubic Classes and Notary Services

                         6 HOUR DECLARATION FORM

                  (After the 6 hrs of study, complete and submit this form)
       DECLARATION  UNDER PENALTY OF PERJURY
                                          6 Hour Class

Note: You must submit this Declaration or Certification in order to receive your Proof of Completion to satisfy the Secretary of State's mandatory 6 hour course completion.

The form must be filled out in it's entirety and  mailed, or electronically transmitted to Notary Pros. 17998 Caraway Ct. San Bernardino, Ca 92407  e-mailed to: irene@notaryproseminars.com.  Once you have returned this form,  your  proof of completion will be issued within 24 hours.


Astericks are required fields


My Name is:
*ID Type:    Drivers License     Military     Passport

*ID Number:                   

* ID Expiration Date:     

* ID Issuing State:          

*First Name on ID:          

  Middle Name on ID:       

*Last Name on ID:          


1. The identification information I provided to Notary Pros for this
    course is true and accurate.

2.  I am the course attendee as noted above and that I, alone have  
     proceeded  through this outline course for its entire duration.

3.  I have completed the approved 6 (six) hour course of study
     offered by Notary Pros regarding the laws and regulations that
     apply to California notaries public.  This includes reading and
     for at least 6 (six) hours the course materials and taking any  
     practice exams included as part of the course.  I completed the 6
     (six) hour course of study on    Date:  *
                                                                             please enter date
4    I* hereby declare or certify  under penalty  of
                 please type name
      perjury under the laws of the State of California that these
      statements are true and correct.


5.   I understand that the crime of perjury is punishable by
      imprisonment in the
State prison for two, three or four years
      (Penal Code §126).

6.    I agree to be bound by the above statements.

7 Your e-mail address: *


8. Mailing Address:       *

Security Code:
                


 
 
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