Notary Appointment Request Form

Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

My notary services comply with all applicable state and federal laws to ensure the integrity and accuracy of every notarization. Clients must provide a valid, government-issued photo ID, and documents must be fully prepared before notarization. We confirm that all clients understand the document, are signing voluntarily, and are mentally competent. Witnesses are required for certain documents and must provide valid identification. The notary reserves the right to refuse service if the document appears incomplete, or fraudulent, or if the client cannot provide proper identification or authority to sign. All notarized documents and client information are treated with strict confidentiality, and a notarial journal is maintained for record-keeping. We offer transparent pricing for our services, including any additional fees for mobile services, witnesses, or complex notarizations, ensuring professional and compliant notary services at all times.
What type of document are you having notarized? (e.g., affidavit, contract, power of attorney)
What is the purpose of the document?
Is this document complete and ready to be signed?(Note: The document must be signed in the presence of the notary.)*

YesNo
Do you understand the content of the document you are signing?*

YesNo
How many witnesses will be present?*
Please Confirm:*

I confirm that I'm at least 18 years old.I confirm that I can read, write, and understand the English language.I confirm that I have never been convicted for any offense.I confirm that my professional license was never been revoked for any misconduct or similar.
Are you signing on behalf of someone else or a business (e.g., as power of attorney or business representative)?

For MyselfFor My BusinessFor Third Party
The cost of services is based on your location. I will contact you soon regarding scheduling and costs.
Signature*

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