Notary Public Oath & Seal Form 
 
 
 
Rev. 8/2020                    
AFFIDAVIT 
 
 
 
 
 
TERRITORY OF THE VIRGIN ISLANDS  
) 
DISTRICT OF ST.___________________  
) 
 
 
 
 
 
 
 
) 
 
I, _______________________________, residing at ___________________________________ 
being duly sworn, depose and state: 
1. I am a citizen of the United States and a resident of the Virgin Islands. 
2. I have resided in the Virgin Islands for the past ________ years. 
3. I am ______ years of age. 
4. ______ I am a graduate of an accredited High School; OR 
______ I have passed the High School Equivalency Test (GED). 
5. I have never been convicted of any crime either within or outside of the Virgin Islands.  
6. I will continue to reside in the Virgin Islands during the term of my commission. 
This Affidavit is made for the purpose of having issued to me a Notary Public Commission 
for the Virgin Islands. 
 
_____________________________ 
Signature 
 
Subscribed and sworn to before me this _____ day of ____________________, 20___. 
 
                        
   SEAL 
 
 
 
________________________ 
Notary Public 
 
My Commission Expires: ________________ 
Notary Public Number ________________