Notary Service Form
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
IDENTIFICATION
Type of Government ID
*
Please Select
Driver’s License
State ID
Passport
Upload ID (Front)
*
Browse Files
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Choose a file
Cancel
of
Upload ID (Back)
*
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Cancel
of
ID Number
*
State/Country of Issuance
*
Expiration Date
*
-
Month
-
Day
Year
Date
DOCUMENT DETAILS
Type of Document
*
Please Select
Affidavit
Power of Attorney
Real Estate Document
Loan Document
Business Document
Other
Upload Document
*
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Drag and drop files here
Choose a file
Cancel
of
Number of Pages
*
LOCATION & REQUIRED NOTICE
Your Current Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I understand I must be physically located in a state where remote notarization is permitted.
I understand I must call or text (704) 674-4885 to schedule my appointment after submitting this form.
Notary Fees:
$10 per page
$0.70 per mile (travel fee if applicable)
Payment Method
Please Select
Credit/Debit Card
Zelle
PayPal
LEGAL CONSENT
Legal Disclosures
I confirm I am signing willingly
I understand the notary does not provide legal advice
I agree to present valid ID during notarization
I understand the session may be recorded
Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
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