OFFICE OF THE SECRETARY OF STATE

APPOINTMENT OF PROTOCOL CUSTODIAN AND SEAL FILING

ALABAMA CIVIL‑LAW NOTARIES

Form ACLN‑2

Effective xxxxxx xx, xxxx

Full Name Of Appointee: ______________________________________________________

1. (Last)                    (First)                (Middle)

   Date of Birth: ____/____/____       Alabama Bar ID Number: ____________

   Place of Employment:  _________________________________________________

   Business Address:      ________________________________________________

   (Street)

   ________________________________________________

2. (City)                     (State)        (Zip Code)

   PROTOCOL

   If different than business address, please list the physical location where your notary protocol will be maintained:

   ______________________________________________________________________________________

   ______________________________________________________________________________________

   Please provide the name and business address (P.O. Box of Mail Drop Box not acceptable) of an Alabama Civil‑Law Notary who has agreed to take custody of your protocol in the event your appointment is ever suspended or revoked, or you die or become incapacitated:

   ______________________________________________________________________________________

   ______________________________________________________________________________________

   (Affix seal in this space)

   ACCEPTANCE OF APPOINTMENT

   Having been named as the Alabama Civil‑law Notary agreeing to accept custody of the protocol of the person making this application, I hereby accept the designation and agree to act in this capacity. I further agree to comply with the provisions of all statutes relative to the proper and complete performance of my duties as custodian, and I am familiar with and accept the obligations of my position as custodian.

   Please affix to this forma copy of the seal or graphic symbol unique to you intended to be used for the issuance of authentic instruments, along with a copy of your appointment by the Secretary of State.

   CERTIFICATIONI hereby register the seal affixed to this form as my official seal for use in my capacity as an Alabama Civil‑law Notary. I hereby certify that the information indicated on this form is true and accurate and that I understand any false statements constitute a violation of §13A‑10‑102, Code of Alabama (1975)._____________________________________  ____________________________  ________(Print or Type name of appointee as it appears on        (Legal Signature of Appointee)              (Date)notarial acts)

   Office of Secretary of State · P.O. Box 5616 · Montgomery, Alabama 36103‑5616