Notary Appointment Request Form

Notary Appointment Request Form

Please put "N/A" if the field is not applicable.
Name

First NameMiddle NameLast NameSuffix
Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address (location where to conduct appointment)

Street Address

Street Address Line 2

CityState

Zip Code
Occupation
Company Name
Requested Appointment Date and Time
What is the file you want to be notarized?
Please upload file to be notarized here

Cancelof
Comment
Please indicate any important details.
Choose a Payment Method
Deposit will be collected at the end of this form. All other associated costs will be calculated and charged using the chosen payment method above at the end of the notary service.
Acknowledgment
All conditions below must be met
Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Pricing & Charges

Notary Public Fee ----- $15.00/signature

Notary Fee is the cost associated with getting documents notarized and has a charge per signature depending on the type of notarization. Total service cost will be calculated at the end of the notary service.

Mobile Service Fee ----- $1.50/mile (minimum $15)

Mobile Service Fee varies on the distance traveled versus the price per mile cost. This will be calculated and added to the total service cost at the end of the notary service.

Appointment Deposit/Cancellation Fee

Fully refundable deposit to hold an appointment and in cases of appointment cancellation will serve as the cancellation fee.

$50.00

Total

Credit Card

Apple Pay

Google Pay

Cash App Pay

Acknowledgment