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Step 1.Fill out the form below and submit the requested information indicated on our notary agreement. If you do not have Adobe Reader on your computer, click on the "Get Adobe Reader" to get a copy so you can view the notary agreement.

Download IRS W-9 Form (Adobe .pdf)

Note: If you need a copy of W-9 form from the IRS, click here to download a copy.

Step 2. Fill out the form below, fill out and provide as much information as possible, then hit the 'submit' button to send us your information to be added to our network.

Step 3. Email or FAX us to the below mentioned address and fax number the copies of the items requested on the agreement. If we do not receive all of the items requested your contact information will not be activated for possible future signings.

Fax To:

877-856-8565

   Or

Email To:



admin@nationalloanclosers.com

All items in bold are required.

Personal Information

Job Title:

Notary Public
Closing/Signing Company
Attorney

First Name:

Middle Name:

Last Name:

Home Address:

Address 1:

Address 2:

County:
City: State: Zip:

Day Phone:

- -

Cell Phone:

- -

Day Fax:

- -

Evening Phone:

- -

Pager:

- -

Evening Fax:

- -

Email:

Preferred Contact:

Have you ever been convicted of a felony or misdemeanor?

No Yes



Service Information

How many miles are you willing to travel for $100.00?

* Prices given are for reference only, our normal fees range from $50-$200.

How many additional miles are you willing to travel for an additional $25.00?

* Mileage should be calculated for 1 way travel not round trip
and should be based from your point of origin, i.e. Home, Work.


Availability

Morning
(8am-12pm)

|

Afternoon
(12pm-6pm)

|

Late
(6pm-10pm)

Sunday:

| |

Monday:

| |

Tuesday:

| |

Wednesday:

| |

Thursday:

| |

Friday:

| |

Saturday:

| |


Experience Information

Date your notary license expires:

/ /

How many years total have you been closing loans?:

How many loans have you closed and notarized?

Amount:

Experience with:

Real Estate Mortgage Finance

What loan types have you notarized? (check all that apply)

Purchase Loans Refinance Loans Lines of Credit
Fixed Loans Adjustable Rate Loans Other Loans

If you close loans for any other Title Companies, Lenders or Signing Agencies, please list below.

Do you belong to any Associations? (Check all that apply.)

National Notary Association
U.S. Notary Association
American Society of Notaries

Are you fluent in any languages other than English?

1. 2. 3.



Equipment Information

Are you able to receive documents via email?

No Yes

Are you able to receive faxed documents?

No Yes

Are you able to take digital photos?

No Yes

Do you have a laser printer?

No Yes

If you answered yes above, what printing/paper options are accessible? (Select all that apply)

Letter Legal Letter Duplex Legal Duplex



Accounting Information

Social Security #

- -

or

Tax Id #

-

Make checks payable to:

Address 1:

Address 2:

City: State: Zip:



Company Information (if applicable)

If you are a signing/closing company, and have other notaries that work for you or your company please check yes and fill out the information below:

No Yes

Company Name:

Company Phone:

- -

Company Fax:

- -

Company Address

Address 1:

Address 2:

City: State: Zip:



Additional Information

Comments or Questions?

Would you like to receive messages via email?    

How did you hear about us?    

Check this box to accept the Terms and Conditions.    

Check this box to accept the Notary Agreement.    



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View Terms and Conditions.

Disclaimer: Services not provided in Massachusetts where notary closings are prohibited

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