H.B.T. Notary Services Quote Request

H.B.T. Notary Services – Power of Attorney & Facility Information Form

Tell us what notarization you need and where it will take place to receive a quote (no appointment is scheduled yet).
Contact Information
Requester Full Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Are you the person whose signature will be notarized?
Signer Full Name

First NameMiddle NameLast Name
Relationship to Signer
Document Information
What type of service do you need?
What type of document needs to be notarized?
Number of Documents
Number of Signers
Number of Notarial Acts
Valid, Unexpired Government-Issued Photo ID?
Are Witnesses Required?
Signer Information
Can the signer communicate directly with the notary?
Is the signer able to indicate that they understand what they are signing?
Facility Information
Facility Name
Room Number
Are there any facility access or visitation requirements?
Facility Access or Visitation Details
Is there a facility contact person?
Facility Contact Person Name

First NameMiddle NameLast Name
Facility Contact Person Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Service Address
Service Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Additional Information and Acknowledgment
Anything else H.B.T. Notary Services should know about this request?
Should be Empty:

H.B.T. Notary Services – Power of Attorney & Facility Information Form