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        <div>
          <h1 id="title">Notary Code of Conduct – Acceptance</h1>
          <p class="sub">
            Please review and accept the Code of Conduct before we disclose any case details.
            By accepting, you agree to follow all rules, maintain full confidentiality, and understand that violations may result
            in removal from the case, forfeiture of payment, and financial liability for any losses caused, as this acceptance
            is a legally binding agreement with the legal office of Denny Borges, P.A.
          </p>
        </div>
      </header>

      <div class="note" role="note">
        <strong>Why this step matters:</strong>
        <ul>
          <li><strong>Client protection:</strong> Ensures confidentiality and prevents conflicts of interest among all parties involved.</li>
          <li><strong>Process integrity:</strong> Confirms your role is limited to ID verification, witnessing, and secure return of documents.</li>
          <li><strong>Compliance:</strong> Acceptance is required to access case information and continue as our assigned notary.</li>
        </ul>
      </div>

      
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        <h3 class="section">Notary Information</h3>
        <div class="grid">
          <div>
            <label for="fullName">Full Name *</label>
            <input id="fullName" name="Full Name" required placeholder="First Last">
          </div>
          <div>
            <label for="email">Email *</label>
            <input id="email" name="email" type="email" required placeholder="name@example.com">
          </div>
          <div>
            <label for="phone">Phone *</label>
            <input id="phone" name="Phone" required placeholder="+1 (___) ___-____">
          </div>
          <div>
            <label for="state">Commission State *</label>
            <input id="state" name="Commission State" required placeholder="e.g., Florida">
          </div>
          <div>
            <label for="commissionId">Commission / License Number *</label>
            <input id="commissionId" name="Commission / License Number" required placeholder="e.g., ABC-1234567">
          </div>
          <div>
            <label for="commissionExp">Commission Expiration Date *</label>
            <input id="commissionExp" name="Commission Expiration Date" type="date" required>
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          <div>
            <label for="accountNumber">Account Number Assigned *</label>
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          </div>
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        <h3 class="section">Code of Conduct (Acknowledge All)</h3>
        <div class="checklist">
          <label><input type="checkbox" name="No external recommendations / platforms" required> I will not disclose, suggest, recommend, or mention other legal services, firms, or unclaimed-property platforms to clients.</label><br>
          <label><input type="checkbox" name="No disparagement; follow office directions" required> I will not make comments that could create doubt about Denny Borges, P.A., and I will follow the office’s directions at all times.</label><br>
          <label><input type="checkbox" name="No self-promotion / solicitation" required> I will not self-promote, distribute personal cards, or solicit clients for my own services. I understand this results in termination without payment.</label><br>
          <label><input type="checkbox" name="Centralized communication via office" required> All follow-up communication with clients will go through the office; I will not contact clients directly without approval.</label><br>
          <label><input type="checkbox" name="Limited role (ID, witness, return docs)" required> My role is limited to identity verification, witnessing/notarizing signatures, and secure return of documents. I will not provide legal/financial advice.</label><br>
          <label><input type="checkbox" name="No unrelated financial document requests" required> I will not request unrelated financial documents (e.g., investment portfolios) from clients.</label><br>
          <label>
            <input type="checkbox" name="Violations = termination / penalties + financial liability" required>
            I accept that any violation may lead to immediate termination, penalties, and forfeiture of payment. I also agree to be held financially liable for the total value of the case I am assisting in the signing for the legal office of Denny Borges P.A., for an amount equal to the total value that the case in question represents, in the event that my actions contrary to what was agreed upon result in the client’s cancellation or denial of the client before, during, or after the signing process.
          </label>
        </div>

        <h3 class="section">Mandatory Script – Acknowledgment</h3>
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          "Hello, my name is [NOTARY NAME], I am the notary assigned by the legal office of Denny Borges, P.A.
          I am here solely to witness and notarize the required signatures. I cannot provide legal advice or discuss the case.
          Please contact the office directly with any questions."
        </small>
        <label style="margin-top:8px;display:block;font-size:var(--fs-sm)">
          <input type="checkbox" name="Agrees to read mandatory script" required>
          I agree to read the mandatory script verbatim at each client visit.
        </label>

        <h3 class="section">Consent</h3>
        <label style="display:block;font-size:var(--fs-sm)">
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          I consent to transact electronically and agree that this electronic submission is valid and binding under ESIGN/UETA.
        </label>

        <div class="actions">
          <button class="btn" type="submit">Submit Acceptance</button>
        </div>

        <p class="footer-note">
          This document is confidential. Do not reproduce without permission. | Denny Borges, P.A. | 1-888-815-7782 (Option 4)
        </p>
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Denny Borges PA