C&A Notary and Apostille Loan Signing Intake Form
Please complete this form to provide all necessary details for your loan signing appointment. Please note: Appointments cancelled within 24 hours of the scheduled time will incur a 50% cancellation fee.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Mailing Address
*
Preferred Method of Contact
*
Please Select
Phone
Email
Text
Type of Loan / Signing
*
Please Select
Refinance
Purchase & Sale
HELOC
Reverse Mortgage
Other
If Other, please specify the type of loan/signing
Lender / Title Company Name
*
Loan Officer / Contact Name
*
Loan Officer Phone Number
*
Loan Officer Email Address
*
example@example.com
Closing Date Requested
*
-
Month
-
Day
Year
Date
Preferred Signing Time
*
Hour Minutes
AM
PM
AM/PM Option
Number of Documents / Pages
Complexity
Please Select
Standard
Large
Specialized
Reverse Mortgage
Special Instructions from Lender
Signing Location Type
*
Mobile [We come to you]
Come to Our Office
Virtual
Other
Office Location
*
Please Select
Royal Oak
Downtown Detroit
Physical Address (if Mobile or Other selected)
Virtual Platform (if Virtual selected)
Borrower ID Type
*
Please Select
Driver’s License
Passport
State ID
Other
If Other, please specify Borrower ID Type
Are all parties available at the same time?
*
Yes
No
Optional Add-Ons / Fees
Travel Fee (If outside standard service area)
Rush / Same-Day Signing Fee (Optional for urgent signings)
After-Hours / Weekend Fee (Optional for evenings/weekends)
Extra Copies / Printing Fee (Optional if client requests)
Large Document Package Fee (Optional for document packages over X pages)
Remote Notarization Fee (Optional if requested)
Payment Method
*
Card
Bank Transfer
ACH
Payment Timing
*
Please Select
Before Signing
At Signing
Accessibility Requirements
Preferred Meeting Location (if Mobile)
Additional Instructions / Lender-Specific Notes
Acknowledgment of fees, policies, and add-ons
*
I acknowledge and agree to the fees, policies, and add-ons described.
Digital Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: