Notary-Now Client Portal

Notary-Now.US

Client Intake Form

Please provide complete information for your service request

Personal Information

First Name *

Middle Name

Last Name *

Date of Birth

SSN Last 4 Digits (Optional)

Contact Information

Email *

Phone *

Alternate Phone

Preferred Contact Method *

Address

Street Address *

City *

State *

ZIP Code *

Country *

Emergency Contact

Name

Relationship

Phone

Identification

ID Type

ID Number

Issuing State

Expiration Date

Service Information

Service Description *

Preferred Language *

Urgency Level

Preferred Appointment Date

Preferred Appointment Time

Family Information

Optional - Helpful for tax preparation services

Marital Status

Number of Dependents

Spouse Name (if applicable)

Employment & Income Information

Optional - Helpful for tax preparation services

Employment Status

Employer Name

Occupation

Annual Income Range

Additional Information

How Did You Hear About Us?

Special Requirements

Additional Notes

Document Upload

Upload any relevant documents (ID, supporting documents, etc.). Accepted formats: PDF, JPG, PNG, Word. Max size: 10MB per file.

Click to upload or drag and drop

PDF, JPG, PNG, Word (max 10MB per file)

Consents and Agreements

I consent to be contacted by Notary-Now.US via email, phone, or SMS regarding my service request. *

I consent to receive electronic communications and documents from Notary-Now.US.

I acknowledge that I have read and agree to the terms of service and privacy policy. *