CAPITAL TRUST NOTARY GROUP LLC
GENERAL NOTARIZATION REQUEST FORM (Sample Template)
=====================================================

Please complete this form prior to your appointment and bring it along with your
valid, government-issued photo ID and the document(s) to be notarized.

CLIENT INFORMATION
-------------------
Full Legal Name: ______________________________________________
Phone Number:    ______________________________________________
Email Address:   ______________________________________________
Mailing Address: ______________________________________________

DOCUMENT INFORMATION
-------------------
Type of Document(s): __________________________________________
Number of Documents: __________________________________________
Number of Signers:   __________________________________________
Notarial Act Needed (check one):
   [ ] Acknowledgment      [ ] Jurat (sworn statement)
   [ ] Oath / Affirmation  [ ] Copy Certification
   [ ] Other: _____________________________________________

APPOINTMENT DETAILS
-------------------
Preferred Date: _______________  Preferred Time: _______________
Meeting Location: _____________________________________________

I certify that I am signing this/these document(s) knowingly, voluntarily, and
of my own free will, and that I am not under duress. I understand that the
notary cannot provide legal advice.

Signature: _______________________________   Date: _____________

-----------------------------------------------------------------
NOTE TO BUSINESS OWNER: This is a starter template. Replace with your
finalized, branded, state-compliant form before distributing to clients.