MERITSTONE NOTARY

NOTARY AND DOCUMENT SERVICES
Professional. Dependable. Mobile Services.
NOTARY SERVICE REQUEST & CLIENT INTAKE FORM
Complete this form so we can review your request and contact you to confirm availability, location, and pricing. Submitting this form is a request only; your appointment is not confirmed until Meritstone contacts you.
1. CLIENT CONTACT INFORMATION
Full name of person requesting service

First NameLast Name
Best phone number
Format: (000) 000-0000.
Email address
example@example.com
Preferred contact:
If booking for someone else, relationship/role
Name of signer(s), if known

First NameLast Name
2. APPOINTMENT DETAILS
Requested date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred time / time window

Hour Minutes

AM/PM Option
Appointment type:
Facility name / room / unit, if applicable
Appointment address / location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City and ZIP code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of signers
Estimated number of documents
Document type (check any):

Other
3. SIGNING REQUIREMENTS & ACCESSIBILITY
Will each signer be present and able to communicate directly with the notary?
Will signer(s) have current, acceptable identification available?
Are witnesses required by the document or receiving organization?
If witnesses are needed, have they been arranged?
Access, parking, check-in, mobility, or facility-entry instructions (do not include private medical details):
Additional arrival instructions
How did you hear about Meritstone?
4. SERVICE REVIEW & ACKNOWLEDGMENT
I understand this is a request, not a confirmed appointment. Meritstone will contact me to confirm availability, location, and applicable fees.
I understand signer(s) must meet applicable notarial requirements, including appearing before the notary and satisfying identity and willingness/awareness requirements.
MERITSTONE NOTARY|866-703-6277 | MERITSTONENOTARY@GMAIL.COM

NOTARY SERVICE REQUEST & CLIENT INTAKE FORM

1. CLIENT CONTACT INFORMATION

2. APPOINTMENT DETAILS

3. SIGNING REQUIREMENTS & ACCESSIBILITY

4. SERVICE REVIEW & ACKNOWLEDGMENT