Signer's Name (as it appears on a valid ID)(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Middle Last Suffix Signer's Email(Required) Signer's Phone(Required)Signer's Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Meeting Location (if different from above) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date Requested Month Day YearTime Requested Hours: Minutes AMPM AM/PMAre you the signer? Yes, I will be the one signing the documents. No, I am filling out this form on behalf of the signerYour name (if filling out form on behalf of the signer)(Required) First Last Your Email (if filling out form on behalf of the signer)(Required) Your Phone (if filling out form on behalf of the signer)(Required)General Notary Service(s) Requested ($5 each) Check as many as apply Acknowledgement Addendum Adoption Affidavit Affirmation or Oaths Beneficiary Documents Certification of Trust Estate Planning Documents Financial Documents Health Care Directive Hospital/Hospice/Assisted Living or Nursing Home I-9 Form Jurats Power of Attorney Prenuptial Agreements Signature by Mark Travel Documents for Minors Verification of Life/Health Will Witness Provision Services Witness VerificationOther Services Requested. Check as many as apply Exam Proctor ($45) Witness Safety Box Opening ($45) Fingerprinting FD-258 ($47) Courier Mileage. I would like YAMN to drop notarized document to nearest UPS, USPO, or FedEx from meeting site (70 cents per mile)Number of Notarization Stamps Requested ($5 each)Number of Additional Signers ($25 each)Is Printing Required? No Yes ($5)Is Scanning Required? No Yes ($25)Is Fax Required? No Yes ($5.55)In addition to any of the services selected above, we charge for time and mileage as determined by the schedule below. Travel Fee A travel fee of 70 cents per mile round trip from our office to the client's meeting location. Travel Time Our travel time is billed to the minute. - Regular Office Hours (9am - 7pm Mon through Fri, 1pm - 7pm weekends) - 44 cents per minute. - Federal Holidays, Emergency Hours (between 7pm and 8 am) - 88 cents per minute. On Site Appointment Time A rate of 44 cents per minute is billed for our time on site during appointments. Credit Card Processing Fee of 2.85% on TotalCommentsThis field is for validation purposes and should be left unchanged.