Request for Services from Zekes Multi Services

Your Name*

First NameMiddle NameLast NameSuffix
Your contact Phone Number*

Area CodePhone Number
Your Email*
example@example.com
The above contact information. How would you perfer me to contact you:*

Call YouText YouEmail You
1st Persons Name Who Will Be Signing Document.

First NameLast Name
1st Persons Contact Number

Area CodePhone Number
Image ID picture of person 1

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2nd Persons Name Who Will Be Signing Document. (If different from above name)

First NameLast Name
2nd Persons Contact Number

Area CodePhone Number
Image ID picture of person 2

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3rd Persons Name Who Will Be Signing Document. (If different from above name)

First NameLast Name
3rd Persons Contact Number

Area CodePhone Number
Image ID picture of person 3

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Address you want me to travel to for notary service*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pass Code To Security Gate - Gated Community
No gate code- N/A

POWER OF ATTORNEY:

Financial and Health Care Directive and Decisions

https://form.jotform.com/Zekriv/power-of-attorney-forms

Plan Ahead Package; One (1) California Uniform Statutory POA Form effective immediately, One (1) Affidavit for POA (sworn statement for banks/financial institutions) and One (1) Health Care Directive and Decisions (DNR) POA effective immediately, includes my notary service and my travel within the city limits Bakersfield.
Quote: $125
.
If you only require one of the above Documents. The fee is only $75.00. (Additional Fee If I Have To Travel Beyond The City Limits of Bakersfield).
.
Two (2) California Uniform Statutory POA Form effective immediately, Two (2) Affidavit for POA (sworn statement for banks/financial institutions) and Two (2) Health Care Directive and Decisions (DNR) POA effective immediately, includes my notary service and my travel within the city limits of Bakersfield.
Quote: $225.00
.
ALL POA's DO REQUIRE SIGNATURES TO BE NOTARIZED...

Additional Travel Fee beyond the city limits of Bakersfield
Power of Attorney Finacial and Health Care Directive*

Yes, I am wanting both POA Finacial and Health Care Directive POAYes, I want only POA FinacialYes, I want only Health Care Directive POANo, I do not want any Power of Attorney Form(s)
PRINCIPAL: The person giving the power in the POWER OF ATTORNEY DOCUMENT is called the “Principal”. I need the legal name to complete the requested document. (This will be used for Power of Attorney Principal -If you have a Jr., III, etc., include this in the Suffix.

First NameMiddle NameLast NameSuffix
Date of Birth of Principal

MonthDayYear
Date
Social Security Number needed for both Power of Attorney Finacial and Healthcare Directive and Decisions Power of Attorney. Both Banks Medical Facilities will request Social Security Number on Principle.
Principal Address wanting to use in the POA Form

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Image ID picture of Principle

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AGENT: The person receiving the POWER OF ATTORNEY is called the Agent/Attorney-in-Fact: Legal Name Required - I need the legal name to complete the requested document. (This will be used for Power of Attorney Agent/Attorney-in-Fact. If you have a Jr., III, etc., include this in the Suffix.

First NameMiddle NameLast NameSuffix
Agent/Attorney-in-Fact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number

Area CodePhone Number
Home Phone Number (opitional)

Area CodePhone Number
Work Phone Number (opitional)

Area CodePhone Number
So I can start on your paperwork for Power of Attorney. Please download Agents State issue ID for Power of Attorney

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Secondary/Backup Agent: The person receiving the POA is the Agent/Attorney-in-Fact: Legal Name - I need the legal name to complete the requested document. (This will be used for Power of Attorney Agent/Attorney-in-Fact. If you have a Jr., III, etc., include this in the Suffix.

First NameMiddle NameLast NameSuffix
Secondary Agent/Attorney-in-Fact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number

Area CodePhone Number
Home Phone Number (opinional)

Area CodePhone Number
Work Phone Number (opinional)

Area CodePhone Number
So I can start on your paperwork for Power of Attorney. Please download 2nd Agents State issue ID for Power of Attorney

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Declaration of Domestic Partnership

Two persons desiring to become domestic partners may complete and file a Declaration of Domestic Partnership with the Secretary of State.

https://sco.ca.gov/Files-PPSD/FAQs_Domestic_Partnerships.pdf
For Declaration of Domestic Partnership:*

Yes, I want to change my middle and or last name to his on the DP1.No, I do not want to change my last name on the DP1 - Leave as is.NO, I Do Not Want To Apply For Declaration of Domestic Partnership
Partner #1 - Legal Name

First NameMiddle NameLast NameSuffix
Partner #1 - Only If you want to change your MIDDLE NAME and/or LAST NAME, to your significant other.

Date of Birth New Middle Name New Last Name Suffix
State issued ID to start on your DDP

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Partner #2 - Legal Name

First NameMiddle NameLast NameSuffix
Partner #2 - Only If you want to change your MIDDLE NAME and/or LAST NAME, to your significant other.

Date of BirthNew Middle Name.New Last NameSuffix
State issued ID to start on your DDP

Browse Files

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WHAT TO SUBMIT

FOR YOUR DOMESTIC PARTNERSHIP

These Are Example Documents That You Will Receive Once It Is Registered By The Secretary of California.
The Documents That You Receive, Must Be Mail To The Family Visiting Officer at KVSP.
.
https://form.jotform.com/Zekriv/example-of-completed-domestic-partn

TEMPORARY GUARDINSHIP OF CHILD(REN)

Temporary Guardianship is only granted in emergency situations, where there is an immediate need for guardianship over a child or children.

if you want to make it permanent, you must request such request through the family courts.

This is a Non-court Ordered Temporary Guardianship Arrangements Requiring Parental Consent from the primary parent.
1st Legal Parents Name

First NameMiddle NameLast Name
2nd Legal Parents Name

First NameMiddle NameLast Name
Current Address of Parent

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
1st Name of Child

First NameMiddle NameLast Name
1st Child Date of Birth

MonthDayYear
Date
2nd Name of Child

First NameMiddle NameLast Name
2nd Child Date of Birth

MonthDayYear
Date
3rd Name of Child

First NameMiddle NameLast Name
3rd Child Date of Birth

MonthDayYear
Date
4th Name of Child

First NameMiddle NameLast Name
4th Child Date of Birth

MonthDayYear
Date
Name of 1st Guardian Where Child Will Be Living With

First NameMiddle NameLast Name
Name of 2nd Guardian Where Child Will Be Living With

First NameMiddle NameLast Name
Address of Guardian Were Child(ren) Will Be Libing At.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Request for Release of Impounded Vehicle:

Fill this area if you require a Notariezed letter to release a vehicle from a tow yard facility.
Vehicle impound: YES, YOU WANT TO RELEASE OF IMPOUNDED VEHICLE or it’s NOT APPLICABLE for your needs*

YesNOT APPLICABLE for my needs
Registration Vehicle Owners Name

First NameMiddle NameLast NameSuffix
Year of vehicle
Make of vehicle
Model of vehicle
License Plate Number of vehicle
License Plate Number of vehicle
VIN Number of vehicle
Date vehicle was towed

MonthDayYear
Date
Towing Company/Tow Yard Name
IMPORTANT INFORMATION - THIS IS A MUST…

I acknowledge that there will be a CANCELLATION FEE and this fee is due and payable if a signer refuses to sign or is unable to sign documents on their own when notary arrives. Cancellation Fee varies from $25 to $100 for my time and travel to meet with you and or signer at the time of appointment.

The individual signing must be able to understand what’s going on and must be able to sign the document without assistance. If he or she can not sign his or her name and can only make an "X", then I will need 2 Witnesses (not medical care workers) friend or family members or acquaintances.

A signature by mark is an alternative to writing a full signature. The signer instead makes a mark (such as an "X") or other symbols on the document.

In some cases. It is a practice to have one of the witnesses print the signer's name next to the mark on the document, and the witnesses will be required to sign the Notary’s journal entry.
The second witness cannot be the person being assigned as the agent (attorney in fact)

If you don’t have the document(s) and don’t know where to get them, let me know now so I can assist you. Please don’t wait to tell me when I show up. I do have other appointments to get to.

Individual signing document must be coherent and must know what he or she is signing.

Individual suffering from dementia or is bed ridden and can not sign by themselves. Notary signing cannot happen. I request this respectfully, please let me know if this applies to you or to the person(s) signing legal document. I do not want to waste your time and my time if I’m unable to conduct notary service.

In cases in which a document must be witnessed and notarized, the Notary can only serve as either a witness or Notary, but not both. So if you have document(s) that need to be both notarized and witness. You must have your witnesses present at the time of the signing. If a person is named in the document and will benefit from it. He or she can not sign as a witness.
NO SHOW AT APPOINTMENT: I Acknowledge that when you arrive for my appointment for notary services and I and or the signer fails to show up at the specific time. I as the notary, will give you and or the signer a total of 15 minutes to show up or my services will end and I will leave.

There will be a INCONVENIENCE TRAVEL FEE for a NO SHOW appointment: Inconvenience Travel Fee for a NO SHOW appointment, varies from $25 to $100 for my time and travel to meet with you and or signer at the time of appointment and you and or signer fail to show up.
You will receive a ONLINE PAY APP (Zelle, Venmo, CASH App, Apple, Square or PayPal) to pay my INCONVENIENCE TRAVEL FEE.
INCONVENIENCE TRAVEL FEE is a separate fee from the CALL BACK.

If you CALL BACK again for my services again to return, there will be an additional fee on top of my notary service fees. Additional fees can vary from $10 to $100, depending on my travel to return back to your address. To return back, my total service fee (notary service + my travel fee + my return fee) will need to be paid upfront by a online payment app. (Zelle, Venmo, CASH App, Apple, Square or PayPal).
Waiting Time:
I acknowledge that I will be ready to meet and or have all my documents ready to be notarized.
When you hire my services, I understand you are a busy person. But, so am I.
I will be at your place of business or home on time to conduct your notary service.
But as well, I have other appointments I must keep and be on time for my clients:
Free for the first 15 minutes of Scheduled Appointment
$15.00 for each additional 15 minutes thereafter for Waiting
(15-30 minutes) $15.00
(31-45 minutes) $30.00
(46-60 minutes) $45.00
(61-75 minutes) $60.00
(76-90 minutes) $75.00
If you and or another person knowingly lie on a document or statement and you and or they sign that document or statement in front of a notary public. Is it a crime?

Yes, I acknowledge that it is a crime. PENAL CODE: 470 and or 115 and or 127 - Federal Code 18 U.S.C. 1001 and or 1621 and or 1623.

A Notary only verifies the identity of the person(s) signing the document, and that the person(s) is signing the document voluntarily. If you and or the other person(s) lie on that document or statement and it is used to trick people in some way. Yes, that is a crime such as fraud (State and or Federal Crime).

Depending on the document(s), you can be charged as a Misdemeanor or a Felony and be fined as low as $1,000 up to or more of $100,000 and jailed in a county facility, state prison or federal prison.

The Acknowledgement Certificate that is attached to the document says, “I certify that the following person(s) personally appeared before me,on this day, and each acknowledging to me that he or she signed the foregoing document.”
CONTRACT

DISCLOSURE REGARDING LICENSING: ZEKES MOBILE NOTARY SERVICES IS NOT LICENSED AS AN ATTORNEY OR ANY OTHER LEGAL PROFESSIONAL, NOR IS IT LICENSED AS A REAL ESTATE BROKER, AND MAKES NO CLAIMS OR REPRESENTATIONS AS SUCH. EACH INDIVIDUAL PURCHASING SERVICES FROM ZEKES MOBILE NOTARY SERVICES IS ENCOURAGED TO SEEK COMPETENT LEGAL COUNSEL FROM AN ATTORNEY AND COMPETENT REAL ESTATE COUNSEL FROM A LICENSED REAL ESTATE BROKER.

DISCLAIMER OF WARRANTY: TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, THE SERVICE PROVIDED BY ZEKES MOBILE NOTARY SERVICES IS PROVIDED "AS IS" WITHOUT WARRANTIES, CONDITIONS, REPRESENTATIONS OR GUARANTIES OF ANY KIND, EITHER EXPRESSED, IMPLIED, STATUTORY OR OTHERWISE, INCLUDING BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OR CONDITIONS OF MERCHANTABILITY, SATISFACTORY QUALITY, TITLE, NON-INFRINGEMENT OR FITNESS FOR A PARTICULAR PURPOSE. ZEKES MOBILE NOTARY SERVICES DOES NOT WARRANT THE OPERATION OF ITS OFFERINGS WILL BE UNINTERRUPTED OR ERROR FREE. YOU BEAR THE ENTIRE RISK AS TO THE RESULTS, QUALITY AND PERFORMANCE OF THE SERVICE SHOULD THE SERVICE PROVE DEFECTIVE. NO ORAL OR WRITTEN INFORMATION OR ADVICE GIVEN BY ZEKES MOBILE NOTARY SERVICES AUTHORIZED REPRESENTATIVE SHALL CREATE A WARRANTY. THIS DISCLAIMER OF WARRANTY CONSTITUTES AN ESSENTIAL PART OF THE AGREEMENT.

LIMITATION OF LIABILITY: TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT AND UNDER NO LEGAL THEORY SHALL ZEKES MOBILE NOTARY SERVICES OR ANY OTHER PERSON WHO HAS BEEN INVOLVED IN THE CREATION, PRODUCTION, OR DELIVERY THE SERVICES IN THIS AGREEMENT BY OR ON BEHALF OF ZEKES MOBILE NOTARY SERVICES NOTARY SERVICES AND ITS OFFERINGS BE LIABLE TO YOU OR ANY OTHER PERSON FOR ANY GENERAL, DIRECT, INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL, COVER OR OTHER DAMAGES OF ANY CHARACTER ARISING OUT OF THE LICENSING AGREEMENT OR THE USE OF OR INABILITY TO USE THE SERVICE, INCLUDING BUT NOT LIMITED TO, PERSONAL INJURY, LOSS OF DATA, LOSS OF PROFITS, LOSS OF ASSIGNMENTS, DATA OR OUTPUT FROM THE SERVICE BEING RENDERED INACCURATE, FAILURE OF THE ZEKES MOBILE NOTARY SERVICES NOTARY SERVICES SERVICE TO OPERATE WITH ANY OTHER PROGRAMS, SERVER DOWN TIME, DAMAGES FOR LOSS OF GOODWILL, BUSINESS INTERRUPTION, COMPUTER FAILURE OR MALFUNCTION, OR ANY AND ALL OTHER DAMAGES OR LOSSES OF WHATEVER NATURE, EVEN IF ZEKES MOBILE NOTARY SERVICES HAS BEEN INFORMED OF THE POSSIBILITY OF SUCH DAMAGES. I HAVE READ AND ACKNOWLEDGE THE PARAGRAPHS ABOVE.

I AGREE TO HOLD ZEKES MOBILE NOTARY SERVICES HARMLESS FOR ANY AND ALL SERVICES PROVIDED AND HAVE BEEN GIVEN THE OPPORTUNITY TO SEEK COMPETENT LEGAL ADVICE FROM A LICENSED ATTORNEY AND COMPETENT REAL ESTATE ADVICE FROM A LICENSE REAL ESTATE BROKER.
Yes, I understand all the above Contract and Acknowledgments
Prefer Method(s) of Contact*

Call meText meEmail meOther
Date*

MonthDayYear
Date
Your Signature after you read the contract above.*

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3% Credit Card & Debit Card Processing Fee:

Online - Tap - Swipe - Insert

No Fees for Venmo, CASH app, CHIME or Zelle
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Zekes Mobile Notary Services