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About Us
Lenders/Title Companies
Attorneys
Get i Touch
Notaries/Signing Agents
Get your quote for a $1M E&O policy
Business Name
First Name*
Last Name*
Business Address*
Phone Number*
Email*
Do you currently have an insurance policy in effect for the coverage requested?
Yes
No
Prefer not to answer
If you purchase a policy, when would you like your coverage to start?*
What best describes your business's ownership structure?*
Individual/Sole proprietorship
Partnership
Corporation
Limited Liability Company (LLC)
Approximately when did your business begin?*
Do you maintain current and valid professional licenses as required or recognized by industry standards?*
Yes
No
What are your business's estimated gross sales during the next 12 months?*
During the next 12 months, what are the estimated gross sales you will earn from your largest customer?*
Does your business use a written contract or statement of work?*
Yes
No
What is your business's primary type of clients?*
Individuals
Businesses
Both individuals and businesses
Does your business ensure that for all transactions, each party whose signature you notarize is identified and in your presence at the time of notarization?*
Yes
No
This information will be used in accordance with our posted privacy policy and your information will never be sold to any third party. We use your contact information for policy servicing only.*
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(682) R-Notary
Contact@R-Notary.net
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