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  • KDP Notary Journal Interior

    Uploaded by

    Syeed Rifat
    32 views100 pages
    The document contains a notary log with multiple entries recording notarizations. Each entry captures the names, contact information, identification details, signatures of the signer and witness, notarization details like date/time and document type, and a record number. The log is used to document notarizations performed.

    Original Description:

    Notary Journal Interior

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    © © All Rights Reserved

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    The document contains a notary log with multiple entries recording notarizations. Each entry captures the names, contact information, identification details, signatures of the signer and witness, notarization details like date/time and document type, and a record number. The log is used to document notarizations performed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    32 views100 pages

    KDP Notary Journal Interior

    Uploaded by

    Syeed Rifat
    The document contains a notary log with multiple entries recording notarizations. Each entry captures the names, contact information, identification details, signatures of the signer and witness, notarization details like date/time and document type, and a record number. The log is used to document notarizations performed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 100

    Notes

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:
    Full Name: Thumb Print
    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

    Full Name: Thumb Print


    Email: Phone Number:
    Address: Signer’s Signature:

    Service Performed: Identification: ID Number:


     Jurat  ID Card  Credible Witness Issued By:
     Oath  Passport  Known Personally
     Acknowledgement  Driver’s License
    Date Issued:
     Other:  Other: Expiration Date:
    Witness Full Name:
    Email: Phone Number:
    Address: Witness’ Signature:

    Document Type: Date/Time Notarized: Document Date: Fee Charged:

    Comments:
    Record Number:

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