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- #####NAME:
- SecuriSys Digital Notary DN-1
- #####EMAIL:
- dn1@securisys.com
- #####SPECIAL INSTRUCTIONS:
- This digital notary will issue a certificate that ties your signature with
- your publicly listed phone number and your name in such a listing. To qualify
- for a certificate, you must have a phone number listed under your name that
- can be verified by calling 411 or (area code)-555-1212 (from outside of your
- area). In addition, when the listed number is called, there must be somebody
- at the phone or an automatic announcement to confirm your signature ID.
-
- IMPORTANT NOTE:
- By submitting the notarization request to this digital notary and
- subsequently accepting and using the digital certificate issued, YOU MAKE THE
- FOLLOWING PLEDGE:
- 1) You fully represent the entity identified by the name and other
- information in the notarization request and are duly authorized by the said
- entity to execute the application for a digital notary certificate.
- 2) You acknowledge that the private key associated with the digital signature
- submitted for notarization is fully under your control or the control of the
- said entity or its authorized agent and that you and the said entity, not the
- digital notary, is exclusively responsible for protecting the private key
- from compromise, loss, disclosure, modification, or unauthorized use.
- 3) You and the said entity warrant that, when distributing any digital
- content signed by the signature notarized by this digital notary, you and the
- said entity shall exercise reasonable care consistent with prevailing
- industry standards to exclude programs, extraneous code, viruses, or data
- that may be reasonably expected to damage, misappropriate, or interfere with
- the use of data, software, systems, or operations of the other party.
-
- When submitting your signature, fill various fields in the notarization
- request (the dialog box that will be shown when you click the "OK" button of
- this dialog box) as described in the following:
-
- 1) Use the list box below the field labeled "Your Signature to be Notarized"
- to select the signature you want to be notarized.
- 2) In the box "Your name to appear in the certificate", fill the exact name
- listed in the phone listing.
- 3) In the box "Other information to be notarized", fill the 3 lines:
- phone: <your phone number>
- city: <your city>
- state: <your state>
- 4) In the box "Information you want to submit to the notary but do not want
- to include in the notary certificate", fill the following information:
- a) The name and title of the person who is submitting the request.
- b) The name and title of the person who can confirm your signature ID over
- the phone or indicate that your signature ID will be announced by an
- answering machine or other automatic answering system (give directions
- on how to hear the announcement).
- You may add comments or other information in this box.
- 5) In the field labeled "How to send the certificate to you:", specify your
- Email address or regular(snail) mail address for the digital notary to
- send the certificate to you. You may specify both without extra cost.
-
- When the notary receives your notarization request, it will first verify that
- your phone is truly listed under your name by calling the phone directory
- service. Then one of its examiners will call your phone number and ask the
- person named in your request to confirm your signature ID or listen to the
- announcement of your signature ID by an automatic answering system. When the
- notary confirms your phone listing and your signature ID, it will issue a
- certificate and send it to you by Email or regular mail according to your
- request.
-
- The fee for this notary is $25. The digital certificate is valid for 2 years.
- The fee is fully refundable, if the notary fails to confirm the information
- to be notarized and therefore cannot issue the digital certificate.
- The fee should be paid in US dollars to:
- SecuriSys Corporation
- 4440 Cypress Ave.
- El Monte, CA.91731
- If you have any problem sending your notarization request by Email, you may
- copy it to a floppy disk and send it to the above address.
- Please write "To DN-1" and your signature ID on all materials and payments
- sent to this digital notary.
-
- For faster service, you may pay the notary fee with your credit card by
- printing out this instruction, filling out the following form and faxing it
- to (626)-444-9903. If you have no access to a fax machine, you may place the
- credit card payment by calling: (626)-448-4273.
-
- ---------Credit Card Payment for Digital Notary DN-1-----------------------
-
- Name of the applicant:_____________________________________________________
-
- Digital Signature ID:______________________________________________________
-
- Credit Card type: __VISA __Master Card Card Number:______________________
-
- Name of the card holder:_________________________________ Expire:__________
-
- Address:___________________________________________________________________
-
- I authorize payment of $25 dollars to SecuriSys Corporation for the digital
- certificate issuing fee.
-
-
- Signature of the card holder:______________________ Date:__________________
-
- ----------End of the Credit Card Payment Form------------------------------
-
- The above instructions may be changed without notice. Other payment methods
- such as secure online order may be available. Please check the web page
- http://www.securisys.com/notaries.html for the most recent information.
-
- #####STATEMENT:
- =====Certificate Issued by SecuriSys Digital Notary DN-1=====
- Serial Number: <SERIALNUM> Issued on Date: <ISSUEDATE>
-
- SecuriSys Digital Notary DN-1 is convinced that the digital signature:
-
- ID=<SIGNATUREID>
- Valid from <VALIDFROM> to <VALIDTO>
-
- is the authentic signature of the person or other entity represented by
- the following entry in the phone directory listing:
-
- <NAME>
- <OTHERINFO>
-
- The verification procedure and information for relying party is described at:
- http://www.securisys.com/instdn1.htm
-
- (This certificate template may be changed without notice. Please check the web
- page http://www.securisys.com/notaries.html for the most recent information.)
-
- #####END
- #####NAME:
- SecuriSys Digital Notary DN-2
- #####EMAIL:
- dn2@securisys.com
- #####SPECIAL INSTRUCTIONS:
- This digital notary will issue a certificate that ties your signature with
- your name and other information printed on the check that pays the digital
- notary fee. To qualify for a certificate, you must pay the fee with a check
- that has your name and other information you want to notarize.
-
- IMPORTANT NOTE:
- By Submitting the notarization request to this digital notary and
- subsequently accepting and using the digital certificate issued, YOU MAKE THE
- FOLLOWING PLEDGE:
-
- 1) You fully represent the entity identified by the name and other
- information in the notarization request and are duly authorized by the said
- entity to execute the application for a digital notary certificate.
-
- 2) You acknowledge that the private key(s) associated with the digital
- signature submitted for notarization is fully under your control or the
- control of the said entity or its authorized agent and that you and the said
- entity, not the digital notary, is exclusively responsible for protecting the
- private key(s) from compromise, loss, disclosure, modification, or
- unauthorized use.
-
- 3) You and the said entity warrant that, when distributing any digital
- content signed by the signature notarized by this digital notary, you and
- said entity shall exercise reasonable care consistent with prevailing
- industry standards to exclude programs, extraneous code, viruses, or data
- that may be reasonably expected to damage, misappropriate, or interfere with
- the use of data, software, systems, or operations of the other party.
-
- When submitting your signature, fill various fields in the notarization
- request (the dialog box that will be shown when you click the "OK" button of
- this dialog box) as described in the following:
-
- 1) Use the list box below the field labeled "Your Signature to be Notarized"
- to select the signature you want to be notarized.
- 2) In the box "Your name to appear in the certificate", fill the exact name
- on the check you are paying the digital notary fee.
- 3) In the box "Other information to be notarized", fill other information you
- want to be notarized (such as address and phone number). Such information
- must be printed on the check.
- 4) In the field labeled "How to send the certificate to you:", specify your
- Email address or regular(snail) mail address for the digital notary to
- send the certificate to you. You may specify both without extra cost.
-
- When writing the check to pay the notary fee, please write your signature ID
- on the check.
-
- When the notary receives your notarization request and the check paying the
- digital notary fee, it will compare the information in the notarization
- request with the information printed on your check. If the information is
- correct, the digital notary will cash the check. If the check is good, a
- digital certificate will be issued.
-
- The fee for this notary is $25. The digital certificate is valid for 2 years.
- The fee is fully refundable, if the notary fails to confirm the information
- to be notarized and therefore cannot issue the digital certificate.
- The fee should be paid in US dollars to:
- SecuriSys Corporation
- 4440 Cypress Ave.
- El Monte, CA.91731
- If you have any problem sending your notarization request by Email, you may
- copy it to a floppy disk and send it to the above address.
- Please write "To DN-2" and your signature ID on all materials and payments
- sent to this digital notary.
-
- The above instructions may be changed without notice. Please check the web
- page http://www.securisys.com/notaries.html for the most recent information.
-
- #####STATEMENT:
- =====Certificate Issued by SecuriSys Digital Notary DN-2=====
- Serial Number: <SERIALNUM> Issued on Date: <ISSUEDATE>
-
- SecuriSys Digital Notary DN-2 believes that the digital signature:
-
- ID=<SIGNATUREID>
- Valid from <VALIDFROM> to <VALIDTO>
-
- is the authentic signature of the person or other entity represented by
- the following information printed on the check that pays the notary fee:
-
- <NAME>
- <OTHERINFO>
-
- The verification procedure and information for relying party is described at:
- http://www.securisys.com/instdn2.htm
-
- (This certificate template may be changed without notice. Please check the web
- page http://www.securisys.com/notaries.html for the most recent information.)
-
- #####END
- #####NAME:
- SecuriSys Digital Notary DN-3
- #####EMAIL:
- dn3@securisys.com
- #####SPECIAL INSTRUCTIONS:
- This digital notary issues a certificate that ties your signature with your
- name and other information you swear to be true in front of a Notary Public.
-
- To apply for a certificate, you must submit the notarization request in
- electronic form (using "Submitting Notarization Request to Digital Notary"
- dialog box of this program) and the following declaration in paper form
- notarized by a Notary Public. The information entered into these two forms
- must be consistent.
-
- --------- Declaration of the Digital Certificate Applicant ----------
- 1) I _____________________________________(name of the person signing this
- form) fully represent the entity identified by the following information
- and are duly authorized by the said entity to apply for a digital certificate
- and to execute this declaration:
- Name of the Entity:____________________________________________________
- Other Information (to notarize):_______________________________________
- _______________________________________________________________________
- _______________________________________________________________________
-
- 2) I acknowledge that the private key associated with the digital signature
- ID=________________________________________________________ submitted for
- notarization is fully under my control or the control of said entity or its
- authorized agent and that I and said entity, not the digital notary, will be
- exclusively responsible for protecting the private key from compromise, loss,
- disclosure, modification, or unauthorized use.
-
- 3) I and said entity warrant that, when distributing any digital content
- signed by the signature notarized by this digital notary, I and said entity
- shall exercise reasonable care consistent with prevailing industry standards
- to exclude programs, extraneous code, viruses, or data that may be reasonably
- expected to damage, misappropriate, or interfere with the use of data,
- software, systems, or operations of the other party.
-
- I swear (affirm) that I know the contents of this declaration signed by me
- and the statements are true and correct.
-
-
- Signature:_______________________________Date:____________Title______________
-
- (The following should be filled out and signed by a Notary Public.)
-
- Subscribed and sworn (affirmed) to before me this_____day of_________(month),
-
- _________(Year) at _____________________________________________(City,State).
-
-
-
- seal and signature
- of the Notary Public:_____________________________________Date:______________
-
- --------- End of the Declaration ----------
-
- To submit the declaration, click the "Print" button now to print out this
- instruction, fill out the form above, sign it in front of a Notary Public,
- let the Notary Public notarize it, and send it to the following address along
- with the $25 certificate-issuing fee (pay to the order of SecuriSys
- Corporation). The certificate will be valid for two years. The fee is fully
- refundable, if the notary fails to confirm the information to be notarized
- and therefore cannot issue the digital certificate.
-
- SecuriSys Corporation
- 4440 Cypress Ave.
- El Monte, CA. 91731
-
- If you want to pay the notary fee with a credit card, you may fill out
- following form and send it along with the declaration or fax it to
- (626)-444-9903.
-
- ---------Credit Card Payment for Digital Notary DN-3-----------------------
-
- Name of the applicant:_____________________________________________________
-
- Digital Signature ID:______________________________________________________
-
- Credit Card type: __VISA __Master Card Card Number:______________________
-
- Name of the card holder:_________________________________ Expire:__________
-
- Address:___________________________________________________________________
-
- I authorize payment of $25 dollars to SecuriSys Corporation for the digital
- certificate issuing fee.
-
-
- Signature of the card holder:______________________ Date:__________________
-
- ----------End of the Credit Card Payment Form------------------------------
-
- When submitting the notarization request in electronic form, fill various
- fields in the notarization request form (the dialog box that will be shown
- when you click the "OK" button of this dialog box) as described in the
- following:
-
- 1) Use the list box below the field labeled "Your Signature to be Notarized"
- to select your signature to be notarized.
- 2) In the box "Your name to appear in the certificate", fill the exact name
- in the "Name of the Entity" field of the paper form declaration.
- 3) In the box "Other information to be notarized", fill other information you
- want to be notarized (such as address and phone number). This information
- must be in the paper form declaration.
- 4) In the field labeled "How to send the certificate to you?", specify your
- Email address or regular(snail) mail address for the digital notary to
- send the certificate to you. You may specify both without extra cost.
-
- If you have any problem sending your notarization request by Email, you may
- copy it to a floppy disk and send it to the above address.
- Please write "To DN-3" and your signature ID on all materials and payments
- sent to this digital notary.
-
- The above instructions may be changed without notice. Other payment methods
- such as secure online order may be available. Please check the web page
- http://www.securisys.com/notaries.html for the most recent information.
-
- #####STATEMENT:
- =====Certificate Issued by SecuriSys Digital Notary DN-3=====
- Serial Number: <SERIALNUM> Issued on Date: <ISSUEDATE>
-
- SecuriSys Digital Notary DN-3 believes that the digital signature:
-
- ID=<SIGNATUREID>
- Valid from <VALIDFROM> to <VALIDTO>
-
- is the authentic signature of the person or other entity represented by the
- following information sworn to be true by the applicant to a notary public:
-
- <NAME>
- <OTHERINFO>
-
- The verification procedure and information for relying party is described at:
- http://www.securisys.com/instdn3.htm
-
- (This certificate template may be changed without notice. Please check the web
- page http://www.securisys.com/notaries.html for the most recent information.)
-
- #####END
-