NOTARY PUBLIC RECEIPT

I. INTRODUCTION

Welcome to [Your Company Name] Notary Receipt Template. This template is designed to provide a formal record of notary services rendered to our valued clients. It serves as proof of transaction and payment for the notarization of important legal documents. Please fill in the required information below to generate your personalized notary receipt.

II. CLIENT INFORMATION

• Client Name: [Client Name]

• Client Address: [Client Address]

• Client Phone Number: [Client Phone Number]

• Client Email: [Client Email]

III. SERVICE DETAILS

• Date of Service: [Date of Service]

• Type of Document: [Type of Document]

• Number of Pages: [Number of Pages]

• Description of Notary Service Provided: [Description of Notary Service Provided]

IV. FEES AND PAYMENT

• Total Amount Due: [Total Amount Due]

• Payment Method: [Payment Method]

• Invoice Number: [Invoice Number]

• Date of Payment: [Date of Payment]

V. NOTARY INFORMATION

• Notary Public Name: [Notary Public Name]

• Notary Commission Number: [Notary Commission Number]

• Notary Expiration Date: [Notary Expiration Date]

VI. WITNESS INFORMATION (IF APPLICABLE)

• Witness Name(s): [Witness Name]

• Witness Address: [Witness Address]

VII. CLIENT SIGNATURE

• Client Signature: [Client Signature]

• Date of Signature: [Date of Signature]

VIII. TERMS AND CONDITION

• Notary services are provided under state laws and regulations.

• Payment is due at the time of service unless otherwise agreed upon.

• Fees are non-refundable once the notarization process has been completed.

• Clients are responsible for providing valid identification and any necessary documents for notarization.

• Any disputes regarding notary services will be resolved through arbitration.

IX. Contact Information

• Company: [Your Company Name]

• Department: [Your Department]

• Address: [Company Address]

• Phone: [Company Phone Number]

• Email: [Company Email]

X. NOTARY'S PUBLIC STATEMENT

I, [YOUR NAME], hereby certify under penalty of perjury under the laws of [YOUR STATE] that the foregoing is true and correct.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal on the date mentioned above.

[YOUR NAME] Signature:
Date: [DATE OF NOTARIZATION]

XI. NOTARY SEAL

(Place Notary Seal Here)

XII. ACKNOWLEDGEMENT RECEIPT (OPTIONAL)

I, [RECIPIENT NAME], acknowledge the receipt of the notarized document titled [DOCUMENT TITLE] on [DATE OF RECEIPT].

Recipient Signature:

Date: [DATE OF RECEIPT]

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