Client Information:

Company Name** Requested By**

Contact Phone** Contact E-mail

Borrower's Information:

File Number Borrower #1: Name

Phone Alternate Phone

Borrower #2: Name

Phone Alternate Phone

Subject Property Information:

Address Address Line 2

City State ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA VERMONT WASHINGTON WEST VIRGINIA WISCONSIN WYOMING Zip

Signing Location Information:

Address Address Line 2

City State ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA VERMONT WASHINGTON WEST VIRGINIA WISCONSIN WYOMING Zip

County Type of Loan Single Re-Finance 1st and 2nd Mortgage Double Purchase Buyer Side Only Purchase Seller Side Only Purchase Investment Reverse Mortgages Deed Signing Only

Signing Date (mm/dd/yyyy) Closing Time 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00 12:00 AM/PM AM PM

Closing Location Borrower's Home Borrower's Work Attorney's Office Broker's Office Local Restaurant Escrow Office Lenders Office Other Package Sent By E-mail Overnight Mail Fax Courier Picked up by Closer

Documents Sent To Notary Borrower

Mortgage Loan Documents
Advance Healthcare Documents
Estate Planning Documents
Property or Title Documents
Other (please describe below)

Special Notary Instructions

 

"I AM NOT AN ATTORNEY LICENSED TO PRACTICE LAW IN THE STATE OF IOWA,
AND I MAY NOT GIVE LEGAL ADVICE OR ACCEPT FEES FOR LEGAL ADVICE"

 

© Copyright 2007 Notary Of Iowa - Iowa Professional Notary Services - All Rights Reserved.

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