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Date your notary liscense expires:

/ /

How many years total have you been closing loans?:

How many loans have you closed and notarized?

Amount:

Experience with:

Real Estate Mortgage Finance

What loan types have you notarized? (check all that apply)

Purchase Loans	Refinance Loans	Lines of Credit
Fixed Loans	Adjustable Rate Loans	FHA
VA	Reverse MTG	RESPA
Auto Loans	Other Loans

If you close loans for any other Title Companies, Lenders or Signing Agencies, please list below.

Do you belong to any Associations? (Check all that apply.)

National Notary Association
U.S. Notary Association
American Society of Notaries

Are you fluent in any languages other than English?

1. 2. 3.