NOTARY PUBLIC APPLICATION INSTRUCTIONS

As the premier full service notary supply company in Washington State we would like to offer our complete Notary Public processing service to you.

Our service includes; the state required Notary Surety Bond, filing of the bond with the state and the manufacturing of your seal or stamp.

In addition to the basic requirements for becoming a notary we offer a full line of notarial supplies, Notary Errors and Omissions Insurance as well as regularly scheduled training sessions throughout the state.

Begin Your Application Process in Three Easy Steps:

1. Complete the three page State Required Notary Application.

2. Complete the enclosed order form. (This is where you select the seal or stampyou will use for your commission, pay for your State required Notary Bond and theState filing fee of the bond. You may also order additional supplies and pay for aseminar or insurance on this form.)

3. E-mail, fax, or mail the application and order form to our office with thepayment method of your choice.

Once we receive your renewal request we will write your bond and send proof of bonding with the application fee to the state via UPS the next business day.

At the same time we will send you your paid receipt and the original bond with instructions. Enclosed will also be information about how to protect yourself as a notary with Errors and Omissions Insurance & our notary training seminars.

It will take the Notary Section of the State of Washington approximately 3-5 weeks to process your application and issue you a Notary License.

By Law YOU must supply a copy of that license to us before we can begin manufacturing your new seal or stamp. Please allow 4-6 days for the manufacturing and shipping of your supplies.

Name Printed

Address

City

Signature

Type of Identification

Identifying Numbers

Type of Document

DATA INDIVIDUALACKNOWLEDGEMENTIDENTIFICATION

/Date of Act Time of Act Type of Notarial Act:■ Individual Acknowledgement■ Acknowledgement Representative

Type of Representative Capacity■ Verification on Oath or Affirmation■ Witness Signature■ Certifying a Copy■ Certifying an Act or Event■ Other

I, ____________________,affirmed to the Notary Public that I am the person named in the document, and that I have signed it as my free and voluntary act.

I, __________________________________,affirmed to the Notary Public that I am the person named in the document and I swear or affirm that the statements I have made are true.

I, ____________________________, affirmed to the Notary Public that I am authorized to sign the document as the

ofto

be the free and voluntary act of such party.

VERIFICATION ON OATH OR AFFIRMATION

REPRESENTATIVEACKNOWLEDGEMENT

Additional Information:

EMBOSSING SEALS

OLD STYLE IDEAL METAL EMBOSSING SEAL INSERT

NEW STYLE IDEAL HAND HELD/DESK COMBO EMBOSSING SEAL

Complete Seal

Insert Only

RUBBER STAMPS

SELF-INKING IDEAL STAMPS

All inked rubber stamps require re-inking on a regular basis. WARRANTY VOID IF STAMP IS NOT RE-INKED USING APPROPRIATE BRAND OF INK SIZE OF NOTARY STAMPS COMPLIES WITH WASHINGTON STATE NOTARY LAW

NOTARY JOURNALS

ANS JOURNAL OF NOTARIAL ACTS

The three most common Notarial acts require a statement from your customer regarding the contents of the document. (RCW 42.44.080) FOR YOUR PROTECTION the customer signs your book in the appropriate section.

ANS Soft Cover Journal

ANS Hard Cover Journal

STANDARD JOURNAL OF NOTARIAL ACTS

Standard journal should only be used in notarizing documents that are for in-office use only. EXAMPLE: You only notarize the signatures of company officers.

STANDARD Soft Cover Journal

STANDARD Hard Cover Journal

Prudent notaries keep a journal which contains clients’ private information. Use of the Notary Privacy Guard® not only protects the client, but also protects the Notary Public by limiting client’s exposure.

1

3

4

6

8A

B

2

A

B

A B

7REGULAR STYLE RUBBER STAMPS(For Use With A Stamp Pad)

Does Not Include Stamp Pad. These stamps may also be used if working with Mylar and the Mylar stamp pad kit.

A B

C

PRE-INKED SLIM STAMPSW/O HANDLE

A B C

5

A

B

9

10

(For use with the embossing seal only-Black)SEAL IMPRESSION INKER

NOTARY PRIVACY GUARD

INK PADS

For use on paper documents

A B

For use on mylar documents

ATTORNEY & NOTARY SUPPLY Application Order Form

P.O. Box 2895 Renton, WA 98056 ∙ Phone (425) 271-6353 ∙ Fax (425) 271-6396 ∙ www.ansofwa.com THE FOLLOWING INFORMATION IS REQUIRED FOR SHIPPING

Your Name: _______________________________________ Day Phone #:___________________________ Company Name: ____________________________________ Email: _______________________________ Office Mailing Address: _______________________________________________________ Suite: _______ City: ____________________________________ State: ______________ Zip Code: __________________

If the shipping address provided is incorrect, you will be billed for the correction fee. LOST SHIPMENTS WILL NOT BE REPLACED

TAXABLE NOTARY SUPPLIES PRICE QTY TOTAL1. Old Style Metal Embossing Seal Insert 26.502. New Style Hand Held/Desk Combo Embossing Seal

a. Complete Seal 34.50b. Insert Only 26.50

3. Seal Impression Inker, with black or blue ink 17.504. Self-Inking Ideal Stamps

a. Round 39.50b. Rectangular 39.50c. Ink 7.00

5. Pre Inked Slim Stamp, without handlea. Round 41.50b. Rectangular 41.50c. Ink 7.00

6. Regular Style Stamp (stamp pad needed)a. Round 29.50b. Rectangular 29.50

7. Ink Padsa. Black Stamp Pad 7.00b. Mylar Ink Kit 45.00

8. ANS Notary Journala. Soft 18.50b. Hard 26.50

9. Standard Notary Journala. Soft 18.50b. Hard 26.50

10. Notary Privacy Guard 11.9511. Notary Fee Sign 11.0012. Finger Print Pad 8.0013. Self Inking Name/Appointment Expires Stamp (Up to 2 lines) 17.5014. Self Inking Attestation of a Copy Stamp 39.00

Non-Taxable Required Items PRICE QTY TOTALNotary Surety Bond (Required) 50.00 1 50.00State License Fee (Required) 30.00 1 30.00Paper Filing of Notary Bond With the State

Non-Taxable Optional ItemsNotary Training Seminar 135.00$10,000 Notary E&O Insurance (4 years) 40.00$15,000 Notary E&O Insurance (4 years) 50.00$25,000 Notary E&O Insurance (4 years) 60.00$30,000 Notary E&O Insurance (4 years) 70.00$50,000 Notary E&O Insurance (4 years) 100.00$100,000 Notary E&O Insurance (4 years) 200.00

Total of Non-Taxable ItemsTotal Supply Order with Tax & Shipping

TOTAL OF ENTIRE ORDER

Taxable SubtotalShipping & Handling

TAXABLE TOTAL WITH SHIPPING & HANDLING

Call for assistance or visit our website for your current Tax Rate

TOTAL SUPPLY ORDER WITH TAX & SHIPPING

No Charge

Tax- Multiply Taxable Total with the Local Tax Rate

Ink Color

Black Blue Purple

Red Green

Payment Options Payment by Check:

Make Check payable to “A.N.S., Inc.”

OR

Credit Card Info

VISA MC Discover

Card Holder Name ________________________

Card Holder Signature _____________________

Card Number_____________________________

Expiration Date _____ Billing Zip Code _______

Credit Card Charges Cannot Be Cancelled

Shipping Rates Commercial Residential$0-$10 (USPS) $2.50 $2.50$11-$17 (USPS) $5.00 $5.00$18-$30 (UPS) $6.50 $12.50$31-$50 (UPS) $10.50 $14.50$51-$70 (UPS) $13.00 $17.00

Over $70 call for correct charge

SEND COMPLETED ORDER FORM WITH YOU

R BOND

INFORMATION TO: Attorney & Notary Supply, Inc.

PO Box 2895 Renton, WA 98056 OR

renewal@ansofwa.net

3 Digit Code ___________

Did you know that there is more to notarizing than just filling in the blanks?

A notary is an impartial witness to the identity, signature and statement of the person appearing before the notary.

This is why A.N.S. teaches Washington State notary law.

Every notarial act has specific actions which much be followed. Our notary seminars cover the standards for carrying out all notarial acts in Washington.

Notaries are subject to criminal, civil and administrative penalties and your state required notary bond only protects the public you serve. Your only protection is proper training and insurance.

Our seminar is a four hour session concentrating on Washington notary laws and standards. It is taught by practicing Washington Notaries.

President, Judith Welsh, began offering notary seminars to educate Notaries on how to fulfill their notarial duties within the scope of the law after working with the Law Revision Committee in 1985. For over 25 years she has offered year round, statewide notary seminars as well as private group sessions.

Vice President, Rebecca Jacob, joined Ms. Welsh in teaching notary seminars in 1993. Ms. Jacob has used her nearly 30 years of notarial experience to educate notaries on the standards practiced today and has co-written our updated notarial training manual.

Seminar Sessions Have Been Scheduled Statewide Early Sign up is recommended

SEMINAR SESSIONS are from 9:00 a.m. to 1:00 p.m. Check in begins at 8:30 a.m.

REGISTRATION FEE for our four hour session is $135.00. This fee includes all reference materials for our live class as well as a breakfast beverage service. No cancellations accepted within one week of the seminar, although a substitute may be sent.

NAME: ____________________________________________DAY PHONE: _________________________

HOME/MAILING ADDRESS: ______________________________________________________________(DO NOT USE OFFICE ADDRESS)

CITY: ________________________________________________ZIP: ______________________________

EMAIL ADDRESS: _______________________________________________________________________

NOTARY COMMISSION EXPIRATION DATE: **______________________________________________

**CALL FOR APPLICATION FORMS, OR GO TO OUR WEBSITE WWW.ANSOFWA.COM. ATTENDING THE SEMINAR DOES NOT MAKE YOU A NOTARY. YOU MUST COMPLETE THE SEPARATE APPLICATION PROCESS.

I WILL ATTEND ON (DATE): ________________________LOCATION:____________________________

SEMINAR SCHEDULEALL SESSIONS BEGIN AT 9:00 am AND END BY 1:00 pm

Enclose a check for $135.00 payable to “ANS of WA Inc.”ALL FEES MUST BE PAID WITH REGISTRATION

NO REFUNDS - THIS IS A CONFIRMED RESERVATION • Copy this form for your records.

Send Regristration and Fees to:

ATTORNEY & NOTARY SUPPLYP.O. Box 2895Renton, WA 98056

If you are paying by Credit CardFax 425-271-6396Email: seminar@ansofwa.net

Credit Card Info□ VISA □ MC □ Debit □ Credit

Card Holder Name______________________________________

Card Holder Signature___________________________________

Card Number________________________

Expiration Date_______________Billing Zip Code____________

3 Digit Authorization Code____________________

Credit Card Charges Cannot be Cancelled

LYNNWOOD Tues. March 19, 2019LYNNWOOD CONVENTION CENTER3711 196th St SW, Lynnwood WA 98036

BELLEVUE Tues. Feb. 12, 2019COAST HOTEL 116-BELLEVUE625 116th Ave NE, Bellevue WA 98004

YAKIMA Wed. May 22, 2019 OLYMPIA TBD

BELLINGHAM TBD

PASCO Tues. Aug. 13, 2019RED LION HOTEL PASCO2525 N. 20TH Ave, Pasco WA 99301

SEATTLE Tues. March 26, 2019WA ST CONVENTION CENTER705 Pike St, Seattle WA 98101

SPOKANE Tues. May 21, 2019TUKWILA Tues. April 23, 2019RAMADA INN

TACOMA Tues. April 16, 2019TACOMA CONVENTION CENTER1500 Broadway, Tacoma WA 98402 15901 W Valley Hwy, Tukwila WA 98188

RUBY RIVER HOTEL700 N Division St, Spokane WA 99202

RED LION HOTEL607 E Yakima Ave, Yakima WA 98901