Batista Notary Signing Services
www.BatistaNotary.com email: Luzb@batistanotary.com ph: 757-737-9201
New Order Form / Signing Request Checklist
Serving Virginia & Nationwide via Remote Online Notarization (RON)
Client / Company information
*
Contact Person
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Preferred communication method:
Email
Phone
Text
Signing request details
Transaction type
*
Buyer Package
Seller Package
Refinance
Loan Modification
Cash Purchase
HELOC
Other
Signing type
*
Please Select
Remote Online Notarization (RON)
In-Person / Mobile Notarization
Preferred signing Date & Time
Time Zone for RON signings
Signer information
Number of signers
*
Please Select
1
2
3
4
5
6+
Signer 1 name
Signer 1 Email
example@example.com
Signer 1 phone number
Please enter a valid phone number.
Format: (000) 000-0000.
signer 2 Name
First Name
Last Name
signer 2 Email
example@example.com
signer 2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
signer 3 or more, list below
Signing location for In-Person signing only
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Language requirements
Please Select
English
Spanish
Other
If other, please specify
Witnesses Needed:
Yes
No
Document information
Approximate number of pages
Printing required?
Yes
No
if yes, how many copies?
Scanbacks required?
Please Select
Yes
No
Courier return label provided?
Please Select
Yes
No
Billing Information
Invoice to:
Email for invoice
Payment Method
Please Select
ACH
Check
Other
Agreed fee $
Additional Notes/Special instructions
Please attach documents if available at time of order submission
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