| Notary Name: | |
| Tax ID: | |
| Date of Appointment: | |
| Time of Appointment: | |
| Customer's Name: | |
| Title Company: | |
| Closing Status: | |
| Called: | TitleCo: Lender: |
| Closer Remarks: | |
| Docs Returned By: | Tracking#: |
| Type of Appointment: | |
| Method of Delivery: | |
| Other Fees Negotiated: | $ |
| Successful Appointment Fee: | $ |
| Did you have to collect money? | $ |
| Document extra trips, extra copies, problems, changes: | |
