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<title>Denny Borges, P.A. — Notary Application</title>
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<section class="max-w-6xl mx-auto px-4 py-8 grid grid-cols-1 lg:grid-cols-2 gap-8">
  
  <div class="space-y-6">
    <div>
      <h5 class="text-xl sm:text-2xl font-bold leading-tight">Join Our Trusted Network of Notaries</h5>
      <p class="mt-3 text-sm text-slate-700">
        <strong>Denny Borges, P.A.</strong> is seeking qualified Florida Notaries Public to assist with
        unclaimed funds recovery cases. Flexible opportunity: earn per notarization and, as a
        <strong>Local Agent</strong>, earn up to <strong>5% commission</strong> per closed case.
      </p>
    </div>

    
    <div>
      <h2 class="text-base font-semibold mb-2">Frequently Asked Questions</h2>
      <div class="space-y-3">
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">How many cases will I receive?</summary>
          <p class="mt-1 text-slate-600">We actively assign cases in your county. Most notaries see 20+ active cases depending on availability and service radius.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">How fast do I get paid?</summary>
          <p class="mt-1 text-slate-600">Payments are issued once the State of Florida finalizes a claim (typically 30–90 days). You can choose ACH, check.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">Do I need to be a Loan Signing Agent?</summary>
          <p class="mt-1 text-slate-600">It’s optional. If you are, you may receive additional assignments requiring document handling.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">What is the Local Agent Program?</summary>
          <p class="mt-1 text-slate-600">Selected notaries coordinate directly with clients and logistics and can earn up to 5% commission per closed case.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">Do you support RON (online notarization)?</summary>
          <p class="mt-1 text-slate-600">Yes. If you’re RON-enabled, tell us your platform; we’ll route cases that can be handled online.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">Can I choose my service area?</summary>
          <p class="mt-1 text-slate-600">Yes. Select your primary county and how far you’re willing to travel; you can add nearby counties as secondary areas.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">Is there a contract or monthly minimum?</summary>
          <p class="mt-1 text-slate-600">No long-term contract and no minimums. Work the assignments you accept.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">What support do I get on a case?</summary>
          <p class="mt-1 text-slate-600">Dedicated coordinator, clear instructions, and fast answers via phone/text/email.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">Do I need E&O insurance?</summary>
          <p class="mt-1 text-slate-600">It’s recommended. If you have it, include your coverage amount for priority assignment when required.</p>
        </details>
        <details class="group border rounded-lg bg-white p-3 shadow-sm">
          <summary class="cursor-pointer font-medium text-slate-700">How soon can I start?</summary>
          <p class="mt-1 text-slate-600">Once your info is verified and payment is completed, you can begin receiving cases right away.</p>
        </details>
      </div>
    </div>
  </div>

  
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      <div id="badgeContainer" class="mb-3"></div>

      <h3 class="text-base font-semibold mb-3">Notary Application</h3>

      
      <div class="grid grid-cols-1 sm:grid-cols-2 gap-3">
        <div>
          <label>Name *</label>
          <input name="FullName" type="text" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
        </div>
        <div>
          <label>Email *</label>
          <input name="Email" type="email" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
        </div>
        <div>
          <label>Phone *</label>
          <input name="Phone" type="tel" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
        </div>
        <div>
          <label>Application Date</label>
          <input id="today" name="ApplicationDate" type="text" readonly class="mt-1 w-full rounded-lg border bg-slate-100 px-3 py-2 shadow-sm cursor-not-allowed">
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        <div>
          <label>Notary Commission Number *</label>
          <input name="CommissionNumber" type="text" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
        </div>
        <div>
          <label>Expiration Date *</label>
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          <label>Street Address *</label>
          <input name="StreetAddress" type="text" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
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          <label>City *</label>
          <input name="City" type="text" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
        </div>
        <div>
          <label>State *</label>
          <input name="State" type="text" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
        </div>
        <div>
          <label>Zip Code *</label>
          <input name="ZipCode" 
                 type="text" 
                 required 
                 pattern="^[0-9]{5}(?:-[0-9]{4})?$" 
                 placeholder="e.g. 33135 or 33135-0000"
                 class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
        </div>
      </div>

      <div class="mt-3">
        <label>Service Area *</label>
        <input name="ServiceArea" type="text" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
      </div>

      
      <div class="grid grid-cols-1 sm:grid-cols-2 gap-3 mt-3">
        <div>
          <span>Willing to travel? *</span>
          <div class="mt-1 flex gap-3">
            <label><input type="radio" name="TravelWilling" value="Yes" required> Yes</label>
            <label><input type="radio" name="TravelWilling" value="No"> No</label>
          </div>
        </div>
        <div>
          <label>Travel Distance *</label>
          <select name="TravelDistance" required class="mt-1 w-full rounded-lg border px-3 py-2 shadow-sm">
            <option value="" disabled selected>Select one</option>
            <option>Up to 10 miles</option><option>Up to 25 miles</option><option>Up to 50 miles</option>
            <option>Within my county</option><option>Statewide</option>
          </select>
        </div>
      </div>

      
      <div class="mt-3">
        <fieldset>
          <legend>General Availability *</legend>
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            <label><input type="checkbox" name="Availability" value="Weekdays (day)"> Weekdays (day)</label>
            <label><input type="checkbox" name="Availability" value="Weekdays (evening)"> Weekdays (evening)</label>
            <label><input type="checkbox" name="Availability" value="Weekends"> Weekends</label>
            <label><input type="checkbox" name="Availability" value="On-call"> On-call</label>
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        </fieldset>
      </div>

      
      <div class="grid grid-cols-1 sm:grid-cols-2 gap-3 mt-3">
        <div>
          <span>Remote Online Notary (RON)? *</span>
          <div class="mt-1 flex gap-3">
            <label><input type="radio" name="RON" value="Yes" required> Yes</label>
            <label><input type="radio" name="RON" value="No"> No</label>
          </div>
        </div>
        <div>
          <span>Loan Signing Agent? *</span>
          <div class="mt-1 flex gap-3">
            <label><input type="radio" name="LoanSigningAgent" value="Yes" required> Yes</label>
            <label><input type="radio" name="LoanSigningAgent" value="No"> No</label>
          </div>
        </div>
      </div>

      
      <div class="rounded-lg border bg-slate-50 p-3 mt-3 text-sm">
        <label class="flex items-start gap-2">
          <input class="mt-1" type="checkbox" name="Consent" required>
          <span>I confirm that I am an active Notary Public in the State of Florida and that all information provided is accurate. *</span>
        </label>
      </div>

      <button type="submit" class="btn-navy mt-4 w-full">Submit Application</button>
    </form>

    <iframe name="hidden_iframe" style="display:none;"></iframe>
    <p id="redirectMsg" class="mt-3 text-center text-indigo-700 font-medium text-sm"></p>
  </div>
</section>

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  document.getElementById("notaryForm").addEventListener("submit", function(){
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    redirectMsg.textContent = "Application submitted successfully. Redirecting you to the payment page…";
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      else alert("Form submitted, but no plan selected.");
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Denny Borges PA