Apostille Request Cover Sheet (Los Angeles)
Complete and include this form with your document(s). Please type or print legibly.
1. Country in Which the Document Will be Used:
2. Date:
3. Your Name:
4. Your Address:
5. Your Telephone Number:
Fees
Apostille ....................................... $20 each
Special Handling Fee *................. $6 per signature
* Special Handling Fee - A $6 special handling
fee applies to each different public official’s
signature to be authenticated.
Secretary of State Use Only
Apostille @ $20 ........ $
Special Handling @ $6 .......... $
Total ...... $
Make checks payable to Secretary of State.
Cash is not accepted.
Check Credit Card
Trans. No.: Initials:
Counter Auth - LA (Rev. 06/2023) California Secretary of State
www.sos.ca.gov/business/notary
(213) 897-5310
Secretary of State
Business Programs Division
Los Angeles Regional Office, 300 South Spring Street, Suite 12513, Los Angeles, CA 90013
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