CAPITAL TRUST NOTARY GROUP LLC
APOSTILLE REQUEST FORM (Sample Template)
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REQUESTOR INFORMATION
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Full Name:        _____________________________________________
Phone / Email:    _____________________________________________
Mailing Address:  _____________________________________________

DOCUMENT INFORMATION
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Document Type: ________________________________________________
   (e.g. birth certificate, diploma, corporate document, power of attorney)
Issuing Authority / State: _____________________________________
Number of Documents: ___________________________________________
Destination Country: ___________________________________________
   (the country that will be receiving/requiring the apostille)

Is the document already notarized/certified? [ ] Yes  [ ] No

RETURN SHIPPING PREFERENCE
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[ ] Pick up in person   [ ] Mail (address above)   [ ] Courier

NOTES
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NOTE TO BUSINESS OWNER: This is a starter template. Replace with your
finalized, branded form before distributing to clients. Apostille
processing times and fees vary by state and destination country.