Client Intake Form for Melanie B Notary
Notarization Request. Email: melaniebnotary@gmail.com Call/Text: (702) 900-4034
First Name
*
Last Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Contact Method
Please Select
Phone Call
Text Message
Email
Any
Best Time to Reach You
Please Select
Morning 8am-12pm
Afternoon 12pm-5pm
Evening 5pm-8pm
Any Time
Service Type
*
Please Select
Mobile - Meet at Location
Remote Online Notarization RON
Type of Document(s) to be Notarized
*
Please Select
Real Estate/Deed
Loan/Mortgage Documents
Power of Attorney
Will/Trust/Living Will
Affidavit/Sworn Statement
DMV/Vehicle Title Transfer
Business/Corporate Documents
Medical/Healthcare Directive
Immigration Documents
Court/Legal Documents
I-9 Employment Verification
Financial/Bank Documents
Other
*APOSTILLE
Number of Documents
Please Select
1
2
3-5
6-10
10+
Number of Signers
*
Please Select
1
2
3
4+
Will Witnesses Be Required?
Please Select
No
Yes - signer will provide
Yes - can you assist?
Preferred Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Time of Day
Please Select
Morning 8am-12pm
Afternoon 12pm-5pm
Evening 5pm-8pm
Flexible/No Preference
Urgency
Please Select
Standard - A few days is fine
Soon - Within 1-2 days
Same Day/ASAP
Signing Location Type
Please Select
My Workplace/Office
Hospital/Care Facility
Attorney's Office
Real Estate/Title Office
Coffee Shop/Public Place
Other
N/A Remote/Online
Signing Address or General Area
Type of ID Signer(s) Will Present
*
Please Select
Driver's License
State ID Card
U.S. Passport
Permanent Resident Card
Foreign Passport
Not Sure/Need Guidance
Does Any Signer Need an Interpreter?
Please Select
No
Yes - Signer will provide
Does Any Signer Have a Physical Limitation?
Please Select
No
Yes - Signature by Mark needed
Yes - Other accommodation needed
Are All Signers Mentally Competent to Sign?
Please Select
Yes
No - Please contact me to discuss
How Did You Hear About Melanie B Notary?
Please Select
Google Search
Friend/Family Referral
Attorney or Title Company
Social Media
Repeat Client
Other
Preferred Payment Method
Please Select
Cash
Zelle
Venmo
CashApp
Square-Credit/Debit Card
Invoice/Billed (Direct Clients Only)
Additional Notes or Special Instructions
I confirm that all information provided is accurate, all signers will be present at the time of notarization, and I understand that documents must not be signed prior to the notary's arrival. I understand that payment is required before the notarization is complete. Melanie B. is a commissioned Nevada Notary Public and is not an attorney. She cannot provide legal advice, explain the contents of documents, or recommend what documents to sign. All notarizations are performed in compliance with Nevada Revised Statutes (NRS) Chapter 240..
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