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Form 2304--General Information (Notary Public Complaint)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney.

Commentary Section 87.47 of Title 1 of the Texas Administrative Code requires the completion of this form to file a complaint against a Texas notary public. The complaint form must be typewritten or legibly printed. This office will not open a complaint file or conduct an investigation into the allegations until the complaint form is properly completed and returned to this office. The complaint should be in English or accompanied by a sworn translation in English. Instructions for Form · Notary Public Information: Include as much of the requested information as you know. · Complainant Information: Provide contact information for the person alleging the misconduct. · Witness Information: List the names and addresses of any witnesses to the alleged misconduct. Use an additional sheet if necessary. · Additional Space: In the event that additional space is needed, make copies of the second page of the complaint form. Number each page. · Attachments: Submit copies of all documentation relating to the allegations of the notary public's misconduct with the complaint form. · Execution: Sign and date the last page of the complaint form before a notary public or other officer authorized to perform an oath. · Delivery Instructions: The form may be mailed to the Statutory Documents Unit, P.O. Box 13550, Austin, Texas 78711-3550 or delivered to the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701. Questions concerning the complaint may be directed to the Legal Support Unit at (512) 463-5558.
Revised 04/09

Form 2304

1

Form #2304

Rev. 04/2009

This space reserved for office use

Submit to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-463-5558 512-475-2815 - Fax Filing Fee: None

NOTARY PUBLIC COMPLAINT

Notary Public Information
Name: Address:
Street City State Zip

Phone No.:

Employer: Business Address:
Street City

Phone No.:

State

Zip

Date Notary's Commission Expires (as shown on document(s)): Date(s) of alleged improper acts:

Complainant Information
Name: Address:
Street City State Zip

Phone No.:

Witness Information
Name: Address:
Street City State Zip

Phone No.:

Name: Address:
Street City

Phone No.:

State

Zip

Name: Address:
Street City

Phone No.:

State

Zip

USE AN ADDITIONAL SHEET IF NECESSARY

Form 2304

2

Allegations
(state only facts within your personal knowledge)

Execution
I declare under penalty of perjury that the foregoing is true and correct. Date:
Signature of Complainant

State of County of

) )

Printed or typed name of Complainant

Sworn to and subscribed before me this (seal)

day of
Notary Public Signature

, 20

.

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Form 2304 3

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