Kern Valley State Prison and Lerdo County Jail Notary Services

9) Institution/Prison/Location (Institución/Prisión)*

Kern Valley State PrisonLerdo County Pre-TrialLerdo County Justice FacilityCentral Receiving - 1415 Truxtun Ave. BakersfieldOther
10) Other Prison/County Jail Facility Name
11) Inmates Legal Name. If the inmate has a Jr., III, etc., include this in the Suffix.*

First Name (Primer nombre)Middle Name (Segundo nombre)Last Name. (Apellido) Suffix
12) County Inmate Booking Number or CDCR ID Number (Example: AB1234 or SO123456)*
Example: AB1234
13) Facility/Yard - Building/Pod - Cell/Room Number (Example: A1-123)*
Example: A1-123
14) Inmates Date of Birth*
Example: 01/01/1900
15) Does The Inmate Have A Job Assignment or goes to School.*

YesNoUnknown
16) What is his/her Work Assignment Area or School Area, Work/School Hours, their Days Off.
17) Inmates Social Security Number Needed for POWER OF ATTORNEY Forms only. If you do not know his Social Security Number, write in: “UNKNOWN”.*
Example: 123-45-6789

SECONDARY MAILING ADDRESS
#18 thru #20 Secondary Mailing Address only: ONLY FILL OUT THIS SECTION if you want me to mail the documents to a different address instead to your address you provided on page 1.
18) Secondary Address : YES, I WANT YOU TO MAIL MY DOCUMENTS TO THIS SECONDARY ADDRESS or it’s NOT APPLICABLE for your needs*

Yes. Mail My Documents to this Secondary Address.NOT APPLICABLE FOR MY NEEDS
19) I want my documents to be mailed to:

PrefixFirst Name (Primer nombre)Middle Name (Segundo nombre)Last Name. (Apellido) Suffix
20) Secondary Mailing Address where you would like the Documents Mailed to, instead to your address:

Street Address (Dirección)

Street Address Line 2

City (ciudad)State / Province (el estado)

Postal / Zip Code (código postal)
POWER OF ATTORNEY -

SUCCESSOR/SECONDARY ATTORNEY-IN-FACT

Only Fill Out This Section If You Want to add a Secondary Agent For The Power Of Attorney (POA)

#21 thru #23: SUCCESSOR AGENT: if you want to add a Successor Secondary Agent for the POA. This is only if the first agent named shall die, become incompetent, resign or refuse to accept the office of agent. Each agent is to act alone and successively, in the order named as successor to such agent:
21) Secondary Agent - Please check one:*

Yes. Add Secondary AgentNOT APPLICABLE FOR MY NEEDS
22) SUCCESSOR AGENT: if you wish a Secondary Successor Agent for Power of Attorney:

PrefixFirst Name (Primer nombre)Middle Name - (No Initials) Segundo nombre)Last Name. (Apellido) Suffix
23) Secondary Agent Address:

Street Address (Dirección)

Street Address Line 2

City (ciudad)State / Province ( (el estado)

Postal / Zip Code (código postal)

CHILD PASSPORT, GUARDIANSHIP LETTER, TRAVEL OUTSIDE THE UNITED STATES AND/OR WRITTEN CONSENT FOR MINOR TO VISIT A STATE INMATE

This section is getting permission from parent that is locked up in prison or county jail. I require information on the minor child(ren) that your wanting to get a Passport, Guardianship Letter and/or Permission to Travel Outside the United States or other types of documents
Fill out this section if you need several documents that require permission for the child.*

Yes, I need permission from parent for Child(ren) PassportYes, I need permission from parent for a Guardianship Letter for child(ren)Yes, I need permission from parent for Child(ren) to Travel Outside the United StatesYes, I need a CDCR Written Consent for Minor(s) to Visit State InmateNOT APPLICABLE FOR MY NEEDSOther
What other type of documents do you need permission from parent
#1 Child Name

First NameMiddle NameLast NameSuffix
#1 Child DOB
Example: 01/01/1990
#1 Age of Child
#1 Child Passport Number. Need to travel outside the UNITED STATES
Example TR12345678
#2 Child Name

First NameMiddle NameLast NameSuffix
#2 Child DOB
Example: 01/01/1990
#2 Age of Child
#2 Child Passport Number. Need to travel outside the UNITED STATES
Example TR12345678
#3 Child Name

First NameMiddle NameLast NameSuffix
#3 Child DOB
Example: 01/01/1990
#3 Age of Child
#3 Child Passport Number. Need to travel outside the UNITED STATES
Example TR12345678
#4 Child Name

First NameMiddle NameLast NameSuffix
#4 Child DOB
Example: 01/01/1990
#4 Age of Child
#4 Child Passport Number. Need to travel outside the UNITED STATES
Example TR12345678
Declaration of Domestic Partnership
Name Change Only

#24 & #25: Declaration of Domestic Partnership - Only if "YOU" want to change your MIDDLE NAME and/or LAST NAME only.
24) For DP1 - Declaration of Domestic Partnership:*

Yes, I want to change my middle and or last name to his on the DP1.No, I do not want to change my last name on the DP1 - Leave as is.NOT APPLICABLE FOR MY NEEDS
25) For DP1 - If you want to change your MIDDLE NAME and/or LAST NAME - Your Name Change Only:

Your Date of Birth 00/00/0000Your New Middle Name. Only fill out if you want to change your middle name. Your New Last Name. Only fill out if you want to change your last.
WHAT TO SUBMIT

FOR A FOR YOUR DOMESTIC PARTNERSHIP

** Mail your completed application "Declaration of Domestic Partnership" (DP-1)

** Two Notarized Acknowledgments (Partner #1 and Partner #2)

** filing fee and fee for each certified copy (check or money order) NO CASH

https://form.jotform.com/Zekriv/example-of-completed-domestic-partn

SKIP SEARCH ONLY

Skip tracing is the process of finding information about an individual by searching public and private databases, court records, driver’s license, and vehicle registration records, and even contacting neighbors and associates to track down the missing person.

If you require a SKIP SEARCH to search for his/her Social Security Number, because you do not know it. A fee of $45 to conduct search. Only if you and inmate does not know the Social Security Number. There is no guarantee I will be able to locate his/her Social Security Number. Many inmates have no work history or have never filed for taxes with the IRS. I will attempt my best and do all internet searches that is available to me.
26) Skip Trace: YES, YOU DO REQUEST SKIP TRACE or it’s NOT APPLICABLE for your needs:*

Yes, I request a Skip Trace done- $45.00NOT APPLICABLE FOR MY NEEDS
27) SKIP TRACE: City and State Inmate Lived Before Going To Prison:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
This will assist me in the history search for his/her Social Security Number. I will need the parents names and siblings names.
28) Mothers Name

First NameMiddle NameLast Name
29) Fathers Name

First NameMiddle NameLast Name
30) Siblings Name

First NameMiddle NameLast Name
31) Siblings Name

First NameMiddle NameLast Name
32) Siblings Name

First NameMiddle NameLast Name
33) Siblings Name

First NameMiddle NameLast Name

Request for Release of Impounded Vehicle:

Fill this area if you request a Notariezed letter to release a vehicle from a tow yard facility.
52) Vehicle impound: YES, YOU WANT TO RELEASE OF IMPOUNDED VEHICLE or it’s NOT APPLICABLE for your needs*

YesNOT APPLICABLE FOR MY NEEDS
53) Registration Vehicle Owners Name

First NameMiddle NameLast NameSuffix
54) Year of vehicle
55) Make of vehicle
56) Model of vehicle
57) License Plate Number of vehicle
58) VIN Number of vehicle
59) Date vehicle was towed
Example: 01/01/1990
60) Towing Company/Tow Yard Name

61) UNITED STATES POSTAL SERVICE*

$125.00 - Priority Mail; Domestic deliveries arrive in 1-5 business days depending on where your package starts and where it’s going. My Service Fee Includes; travel to Delano - KVSP or Kern County Lerdo County Jail, up to 3 Notarized Signatures during visit, walking time, waiting time, transaction time plus mailing your Notarized Documents to you. *** Your choice for Signature Confirmation. Signature required from a person in your home to receive and accept your Envelope. *** Additional Fee for Additional Notary Signatures - 4 or more; $15 each$155.00 - Priority Express Mail; Next-Day to 3-Day Guarantee by 6 PM. USPS fastest domestic shipping service. My Service Fee Includes; travel to Delano - KVSP or Kern County Lerdo County Jail, up to 3 Notarized Signatures during visit, walking time, waiting time, transaction time plus mailing your Notarized Documents to you. *** Additional Fee for Signature Confirmation. Signature required from a person in your home to receive and accept your Envelope. *** Additional Fee for Additional Notary Signatures - 4 or more; $15 each
62) Signature Confirmation is when a signature is required from a person in your household to accept your Envelope*

Yes, I Want Signature Confirmation. Someone must be home to sign and to receive your envelope. If you are not home to receive your envelope, you will need to re-schedule with the USPS for another date to receive your mail. Or pick up at your local USPS ANNEX in your mailing district.No, I Do Not Want Signature Confirmation. Just Leave in Mail Box
63) Perfer Choice of Contact*

PhoneTextEmailOther
64) Other Communication:
Why does service fees to jails cost so much?
Yes, travel does comes into play when I travel to the Prison and or Jail Facilities around Kern County (higher gas prices), but it's also the wait time to get into a facility may be an hour or more, with Central Receiving typically having the longest wait times (1 hour or more wait time). Further, the Pretrial Facility has full contact booths and the Justice Facility it could be up to an hour wait or more and the visit is behind glass. One has to wait for the Deputy to take the documents to the inmate and have him or her sign them. At other facilities, the notary has to enter the back of the facility where inmates are held in order to have the inmate sign documents and the notary journal. This requires extra security personnel, extra time and permission to enter such prison or facilities.

Do you go to surrounding prisons?
Yes I Do.. I am cleared and authorized to enter KVSP in Delano. I have to make arrangements with the Prison Litigation Coordinator prior to visiting KVSP to conduct all notary services. All State Prisons in California have their own Notary Staff that are cleared to enter the prison and some Prison Litigation Coordinators are able to arrange notary services for you as well.
CONTACT:

This Agreement is made between Esequiel "Zeke" Rivera and you (client). This is for the purpose of retaining my Notary Services to notarize documents.

“Notary Service Fee” shall be paid upfront to Zekes Mobile Notary, in the amount quoted, before notary service assignment can start.

When filling out my request for services. Please enter the current legal names (First, Middle and Last Names) of all interesting parties. If there is a suffix; Jr., III, etc., include this in the suffix box.

Legal names (First, Middle and Last Names) of all parties is required for Declaration of Domestic Partnership, Termination of Domestic Partnership, Power of Attorney and Birth Certificate requests.

You will get a picture image of the application to confirm the information is correct, before I print your application and visit the inmate for signatures and notary services.

If your application is not accepted by the receiving parties, department, organization or entity because the name (first, middle or last) was incorrect or incorrect date of birth or incorrect Social Security Number (NOT MY FAULT). You wwill be required to redo your request again, if you decide that you do need my service again. My service fee will be charged again (full price) to visit the inmate again to sign the documents and notarize his/her signature. As well, your documents will be mailed to you again by USPS and you will get a tracking number of your envelope.
I make every effort to make sure both his and your information is correct before traveling to Lerdo or KVSP for the notary service.

If the client above fails to pay for services when due, Zekes Mobile Notary has the option to treat such failure to pay as a material breach of this Contract, and may cancel this Contract and/or seek legal remedies.

EMERGENCY NOTARY SERVICE: if you request and require Emergency Notary Service. There will be an additional fee for emergency services of $75.00.

TERM: This Contract will terminate automatically upon completion of notary assignment and in addition to other Service Fees are paid in full to Zekes Mobile Notary, for the Services performed according to the guidelines of this Contract. Upon termination of this Contract, Zekes Mobile Notary, will return all Notarized Documents created, or controlled by Zekes Mobile Notary to you (client).

It’s the client’s responsibility to make sure that the inmate is still housed at the sending facility and will be available at the time of arrival for notary signature(s). I don’t want to waste your time and your money because if for any reason signing does not occur because the inmate refuses to sign, refuses to meet with me or they were transferred out, appointment will be considered a "NO SHOW": No Refund.

WARRANTY: Zekes Mobile Notary shall provide its services and meet its obligations under this Contract in a timely and workmanlike manner, using knowledge and recommendations for performing the services which meet generally acceptable standards in Zekes Mobile Notary community and region, and will provide a standard of care equal to, or superior to, care used by service providers similar to Zekes Mobile Notary on similar projects.

DEFAULT: The occurrence of any of the following shall constitute a material default under this contract:

The failure to make a required payment when due.
The failure to make available or deliver the Services in the time and manner provided for in this Contract.

REMEDIES: In addition to any and all other rights a party may have available according to law, if a party defaults by failing to substantially perform any provision, term or condition of this Contract (including without limitation the failure to make a monetary payment when due), the other party may terminate the Contract. This notice shall describe with sufficient detail the nature of the default. Unless waived in writing by a party providing notice, the failure to cure the default(s) within such time period shall result in the automatic termination of this Contract.

ENTIRE AGREEMENT: This Contract contains the entire agreement of the parties, and there are no other promises or conditions in any other agreement whether oral or written concerning the subject matter of this Contract. This Contract supersedes any prior written or oral agreements between the parties.

SEVERABILITY: If any provision of this Contract will be held to be invalid or unenforceable for any reason, the remaining provisions will continue to be valid and enforceable. If a court finds that any provision of this Contract is invalid or unenforceable, but that by limiting such provision it would become valid and enforceable, then such provision will be deemed to be written, construed, and enforced as so limited.

AMENDMENT: This Contract may be modified or amended in writing by mutual agreement between the parties, if the writing is signed by the party obligated under the amendment.

GOVERNING LAW: This Contract shall be construed in accordance with the laws of the State of California. California notaries public are prohibited from performing any duties that may be construed as the practice of law. Among the acts which constitute the practice of law are the preparation, drafting, or selection of certificates (Power of Attorney or Acknowledgement Certificates) or determination of the kind of any legal document, or giving advice in relation to any legal documents or matters. If asked to perform such tasks, a California notary public should decline and refer the requester to an attorney.

I DO NOT offer legal advice of any sort regarding your paperwork, so please don't put me in that awkward position of having to disappoint you.

NOTICE: Any notice or communication required or permitted under this Contract shall be sufficiently given if delivered in person or by certified mail, return receipt requested, to the address set forth in the opening paragraph or to such other address as one party may have furnished to the other in writing.

WAIVER OF CONTRACTUAL RIGHT: The failure of either party to enforce any provision of this Contract shall not be construed as a waiver or limitation of that party's right to subsequently enforce and compel strict compliance with every provision of this Contract.

ATTORNEY'S FEES TO PREVAILING PARTY: In any action arising hereunder or any separate action pertaining to the validity of this Agreement, the prevailing party shall be awarded reasonable attorney's fees and costs, both in the trial court and on appeal.

CONSTRUCTION AND INTERPRETATION: The rule requiring construction or interpretation against the drafter is waived. The document shall be deemed as if it were drafted by both parties in a mutual effort.

All information is held strictly private. I do not lend, sell, trade, or give away your private information to any vendor, person, or organization of any kind. I respect your privacy!

NO REFUNDS FOR NOTARY SERVICES RENDERED AND COMPLETED WITHIN A TIMELY MANNER AND OR FOR ANY DEPOSITS PAID TO HOLD A DATE AND FOR TIME FOR ALL PROFESSIONAL SERVICES PROVIDED IN GOOD FAITH.

IF IT IS FOUND THAT I MADE AN HONEST MISTAKE, I WILL REDO YOUR NOTARY FOR FREE.

A STATE ISSUED PHOTO I.D. AND THUMB PRINT IS REQUIRED FROM ALL SIGNERS.
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