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NOTARY APPLICATION ORDER FORM
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Notary Insurance Services, Inc.
4107 South 1st Street
Phone: 512.443.9202
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Required Bonding & State Filing Fee |
$71.00 |
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Official Journal & Fee Chart |
$15.00 | |
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Handbook, Updates & Decal |
Free | |
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Embosser or Pre-ink Stamp |
$24.00 | |
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Special Discount Offer! 3/5 UPS Delivery |
Total $110.00 |
$71.00 ($50.00 bond fee and $21.00 state fee)
or
$110.00 for package offer.
[ ] Check enclosed-Payable to Texas State Notary Bureau
Please charge $______________ to the following credit card:
[ ] VISA [ ] Mastercard [ ] Discover [ ] American Express
NAME ON CREDIT CARD: _________________________________________________________________
SIGNATURE: ___________________________________________________________________________
CREDIT CARD NO. ______________________________________________________________________
CARD EXPIRES: ________________________________________________________________________
Notary Name __________________________________________________________________________
(Order will be processed with name indicated)
Company Name _________________________________________________________________________
Business Address (no PO Boxes)________________________________________________________
City/State/Zip _______________________________________________________________________
Business Telephone ( __________ ) ____________________________________________________
Home Telephone ( __________ ) ____________________________________________________
[ ] Please send Texas Notary Public Handbook, the Law Update and program information on the Texas State Notary Bureau.
[ ] Please send package via Priority Mail to address listed. I accept responsibility for lost or misdirected package.
$20.00 processing fee is non-refundable.