Notary Request Form for Amplified Financial Services

Amplified Financial Services

📬 5547 Veterans Pkwy, Suite B, Columbus, GA 31904 | ☎️ (706) 341-1911 | 📧 info@amplifiedfinsvc.com
NOTARY REQUEST FORM
Request Date

MonthDayYear
Client Information
Is this notary request for a business?
Business Name
Client Name

First NameLast NameSuffix
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Identification
I.D. Number
Identification State
Issuance Date

MonthDayYear
Expiration Date

MonthDayYear
Please upload Government Issued I.D. Here

Example: Driver’s License, Passport, State I.D., etc.
Cancelof
Document(s) Details
Type of Document(s) to be Notarized
Number of Documents to be Notarized
Date of Document(s)

MonthDayYear
Date Document(s) Needed By

MonthDayYear
Additional Comments
Appointment Details
Are you dropping the document(s) off, or would you like to meet up to have your documents notarized?
*Additional fees may apply based on travel time to the location.*
Please provide the meet up location.

Other
*If you need your documents notarized today, and the time is unavailable in the calendar, please select the next available time and add a note in the Special Instructions section.*
Requested Appointment Date and Time
Special Instructions (For example, preferred location, vehicle description, etc.)
Please Note:

We currently have 2 Notary Agents available. Please let us know if you prefer a specific Notary Public.
Is this request for a specific Notary Public?
Payment Details:

The cost to notarize one (1) document page is $25, and there is an additional fee of $5 per signature page thereafter.

To secure your appointment date and time, a non-refundable deposit fee of $10 must be received. The deposit fee will be applied to your total. The full balance must be paid in full before your appointment time and before any document(s) can be notarized. After submitting this form, you will receive an invoice sent to your email with instructions on how to submit your payment.

Should there be a need to reschedule your appointment, you must notify Amplified Financial Services via email or by phone as soon as possible.
At this time, would you like to pay the deposit fee or the total balance due?
Acknowledgment
Please Note: I/we am(are) not an attorney licensed to practice law in the state of Georgia, and I/we may not give legal advice or accept fees for legal advice.
Select ALL that apply.
Signature
Date Signed

MonthDayYear
Should be Empty:

Amplified Financial Services

NOTARY REQUEST FORM

Acknowledgment