Mobile Notary Appointment Intake Paperwork
Contact Name (person ordering the notary appointment)
First Name
Last Name
Contact Phone Number (person ordering the notary appointment)
Please enter a valid phone number.
Signer's Name (if different than contact name)
First Name
Last Name
Signer's Phone Number (if different than contact number)
Please enter a valid phone number.
Email
example@example.com
What kind of document(s) are you needing notarized? (Will, Power of Attorney, etc)
Is the document already prepared?
Yes
No, I need someone to make the document for me
I am not sure
Is the document already printed?
Yes
No, I need the notary to print the document for me
I am not sure
Have you chosen an exact location (address) for this appointment? (Do you know where do you want to meet?)
Yes-- i have an exact address
I only know the city/town but not an exact address
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What city, town, or side of town (example: Downtown Amarillo) do you need to have your appointment?
What day / time? (Example: ASAP, on Monday between noon and 3pm, Tuesday June 1st at 4pm, etc)
*VERY IMPORTANT* Does the signer have VALID (unexpired) identification, such as a Driver's License or State Identification Card? (It needs to be issues by a state or federal government, include their name, and a picture in order to be qualify.)
Yes
No
I'm not sure
Can you provide some type of credible witness (someone with valid ID as described above) who is willing to swear under oath that the signer is who they claim to be in the document?
Yes
No
Maybe / not sure
Are we leaving the document with the signer or do we need to ship it somewhere?
Leave it with the signer / someone else at the appointment
We need it shipped. I will provide information below.
Shipping notes / Other notes / anything else we should know:
You may upload your file here if you need it printed.
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