Order Request

Please fill out the request and one of our Service Providers will reach out to you shortly!

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Date of Service and Time: *

First

Last

Type of Service Request: *

General Notary Service
Loan Signing/ Closing Request
Non Notary /Other Request (Describe Below)

Company Name:

Name for the Person Placing Order: *

First

Last

Email for the Person Placing Order: *

Confirm Email

Phone Number for the Person Placing Order: *

Complete Address/ Loction where the Service Will Take Place: *

Name of the Contact Person at Service Location: *

First

Last

Phone Number of the Person at the Service Location: *

Type of Signing Location: *

Clients Home
Health Care Facility
Lawyers Office
Public Location
Office Building
Other

The 1st Notarization is Free with Service. Each Additional Notarization is $2 plus Additional $3 for Extra Time. Select Your # of Notarizations: *

Service Request: *

Apostille
Signing Specialist (Loan Signing Agent)
Mobile Notary
Estate Planning Signing
Power of Attorney
Trust Documents
Written Statement Letter
Remote Online Service
Proof of Life/ Pension
Mortgage Documents
Auto/Property Sale POA
Other Notary Service ( Describe Below)

Additional Service Request:

Document Currier Service
I-9 Employment Form
Document Translation
Notary Authenticator (Westchester County)
Notary Authenticator (Boroughs, Rockland)
Other (Describe Below)

Print, Copy and Scan Services:

2 Sided Printing
B&W Copy Service
Color Copy Service
Scan to Email File
Email to Print File
Email for Client Services
Lt. Copy & Print Service
Scanning Service
Other (Describe Below)

How Many Signers Including Witnesses: *

1-2 Signers
3-4 Signers
5-6 Signers
7-8 Signers

Completed Documents Should Be: *

Instructions for the Notary: *

I Confirm That: *

I reviewed all the information for correctness.
I understand that you are not a lawyer and can not answer any legal questions.
I understand the the price is a quote and is subject to change.
I agree to pay in advance to have a Service Provider assigned me with my Service Request.
I understand LEILANS MNS may contract with CLUB T.I.N.G to complete your request.
I read and understand all of the disclaimers below.

DISCLAIMERS:...........................Our service fees are based on the Time it takes to Travel to the Location and Task we are asked to preform. In addition to any other service you may request.......................................................................
No Legal Advice:::
A notary public is not a lawyer and cannot provide legal advice. If you have legal questions, you should consult with an attorney. Leilans Mobile Notary Service notary is a New York, New Jersey and Connecticut commissioned notary public........................................................ We are not attorneys and cannot provide legal advice.......................................................... We are only authorized to notarize documents. We rely on the representations of the signer as to the truthfulness of the information in the document. We reserve the right to refuse service for any reason.

Corporate Office

60 Glenwood Ave, Suite LL, Yonkers, NY 10701

info@leilanmns.com

914-803-6967

Service Area

New York

New Jersey

Connecticut

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DISCLAIMERS:

No legal advice: A notary public is not a lawyer and cannot provide legal advice. If you have legal questions, you should consult with an attorney. Leilans Mobile Notary Service notaries are New York, New Jersey and/ or Connecticut commissioned notary public. We are not attorneys and cannot provide legal advice. We are only authorized to notarize documents. We rely on the representations of the signer as to the truthfulness of the information in the document. We reserve the right to refuse service for any reason.

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