The application for a notary commission shall set forth:
1. The name of the applicant, printed exactly as the applicant will sign documents as a notary public;
2. Former names of the applicant, if any;
3. If a resident of this state, the county of residence and street address of the applicant;
4. If a resident of another state, the county and street address of the applicant's place of employment in Oklahoma and the applicant's residence address;
5. Daytime phone number of the applicant;
6. Electronic mail address of the applicant;
7. A statement that the applicant is at least eighteen (18) years of age;
8. A designation of new, renewal or expired commission including an expiration date if applicable;
9. A statement that the applicant is a citizen of the United States;
10. A statement that the applicant has never been convicted of a felony;
11. A statement that the applicant is able to read and write in English; and 12. Signature of the applicant, exactly as the applicant will sign documents as a notary public.