Service: Acknowledgement, Oath/Affirmation, Jurat, Other, Fee $ and TravelGeneral Info: Name (print), Phone #/Email, Address, Document Type, Document Name, Document Date, Witness Name (print), Witness Phone #/Email, Witness Address, Date and Time Notarized and Print of Right ThumbIdentification: Driver's License, Known Personally, Credible Witness(es), Passport, ID Card, See Notes, ID Issued by, ID Number, Expiration Date, Issue Date and NotesSignature: Signer Signature and Witness Signature
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