Clone of WRNS - Order Form

Estate Planning Party – Notarization
ADMIN ONLY:
For Office use ONLY- Clients, leave blank
Submission Date (internal Use Only)

MonthDayYear
Date
party_id_generated
Up front Charge
White Rose Notary Services LLC
Entry Mode
Ae you the host of this Notarization Party?*

YesNo
Will you be signing documents?*

YesNo
Will the host pay the travel/mileage fee

YesNo, the travel fee will be shared
Travel/ Mileage Fee:(Host's Choice)

The host has elected to pay the full travel/mileage fee on behalf of all signers
Shared Travel Fee (Host’s Choice)

The host of this notarization event elected to share the required travel fee among all participating signers. This keeps the cost fair and balanced for everyone. Your portion of the travel fee is shown below.
How many signers are your expecting?*
Host's Name*

First NameLast Name
Host's Email*
example@example.com
Host's Phone Number*
Please enter a valid phone number.
hostsPhoneDigits
Signing Location*
Please Retype Signing Location*
This ensures accuracy
Appointment*

Qualifying

You are completing your portion of an Estate Planning Notarization Party request.Your host has already scheduled the appointment.Please answer the questions below so we can prepare for your signing.
Is the signer alert and able to understand the document and the impact of signing it?

YesNo
Can the signer speak and understand English without the use of an interpreter?

YesNo
Identification Method (select one)

Government-issued photo ID (current, unexpired)Credible witness not named in and not benefiting from the document, who will be present with a current government-issued photo ID and is willing to take an oath/affirmation to identify the signer

Sorry- Signer Qualifications Not Met
❌ Unfortunately, we’re unable to proceed unless the signer is alert and able to understand English. Please contact a notary qualified for language support or choose...
What would you like to do?

Start overGo back to qualifying questions
fail_action

Signer/ Witness Notarization Details
First Name *

First NameLast Name
Phone *
Please enter a valid phone number.
Email*
example@example.com
Title of Document(s)*
File Upload(Optional)

We use the document as reference to address questions you may have. DO NOT INCLUDE PERSONAL PROTECTED INFORMATION (e.g. SS#, Account #, DL# etc
Cancelof
Witness Services (Optional)
Witnesses must be impartial adults with valid ID. If you do not have qualified witnesses, the notary may be able to provide witnesses for an additional fee per witness, subject to availability.
Do you have your own qualified witnesses?

Yes, we will provide our own witnessesNo, I need witness services (if available)
How many witnesses do you need the notary to provide?
How many SIGNATURES need to be notarized on the original document?*
Fees are based on notarized signatures, NOTdocuments. This is total number of names listed in the Notary section which may include signers and witnesses.
How many duplicate SIGNATURES need to be notarized?

Processing/Qualifying