In the dynamic and often intricate world of security and ownership verification, the Notarized Statement of Ownership for Combinations or Keys emerges as a pivotal document. This form, specifically utilized by customers of BRK Brands, Inc., serves an essential function by facilitating the authorized acquisition of combinations, keys, or override passcodes for safes. Ensuring the process is as smooth and delay-free as possible, the document necessitates that all sections be filled out with clarity and precision. It outlines a variety of options for receiving the requested items, whether through mail, fax, or direct phone call, with specific instructions for both the customer and the company, including the details on the type and quantity of keys or the process for obtaining combinations or override codes. Furthermore, it stipulates the acceptable forms of payment and sets expectations for delivery timelines, providing an expedited choice for those in urgent need. Notably, the form also underscores the importance of legal ownership or authorized representation by requiring that the claimant, whether the owner or acting on behalf of the owner as a Power of Attorney, company representative, or estate executor, provide a declaration of entitlement. This declaration, coupled with the mandatory notarization, ensures the legitimacy and security of the transaction, upholding the integrity of the process for all parties involved. It's a comprehensive tool, designed to streamline the often complex protocol of proving ownership and obtaining secure access to one's valuable assets.
| Question | Answer |
|---|---|
| Form Name | Notarized Statement Ownership Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 35 |
| Avg. time to fill out | 7 min 15 sec |
| Other names | how to notarized statement ownership, examples of collective ownership, letter stating common ownership of a business, alert notarized online |
BRK Brands, Inc. • 3901 Liberty Street Road
Aurora • Illinois
Tel:
NOTARIZED STATEMENT OF OWNERSHIP FOR COMBINATIONS OR KEYS
Be advised: To avoid delays in processing request, please print clearly and complete all information requested below. You may submit the completed form via fax or mail (address and fax number located in the above right hand corner).
Customer Account #: _____________________
Item(s) Requested: _____ Combination |
_____ Keys |
_____ Combination & Keys |
_____ Override Passcode |
|
|
|
|||
Select method you wish to receive combination |
and/or override passcode |
: |
|
|
Mail (address below) ___ FAX (number below) ___ CALL*(number below) ___
*Please specify persons at the number below we can release the combination and/or override passcode to:
________________________________________________________________________________________
If keys, please specify type of keys and quantity desired:
Steel Cash & Security Box Keys cost $7.95 and are only sold as a pair – (Do not require a notary letter) All other safe model keys cost $10.95 each – (notary letter is required)
ACCEPTABLE FORMS OF PAYMENT: CASHIERS CHECK, MONEY ORDER OR BUSINESS/PERSONAL CHECK
_______ Override/Master |
_______ Standard, Entry or Companion |
|
|
|
(used to open the safe without a combination or passcode) |
(used to open safe with a combination or passcode) |
|
*Keys will ship regular US Postal Service to address listed below, please allow
_______ Expedite Please ($24.35 Additional Fee, please allow up to 3 business days for receipt once order is placed)
I, __________________________________________, declare that I am the legal and rightful owner of the safe.
(Print Name)
Please circle: if you are the Power of Attorney, an authorized company representative, or estate executor for the rightful safe owner. (You must provide the necessary
Model #: __________________ |
Serial #: ______________________________ |
Key #: ___________ |
||||
Model #: __________________ |
Serial #: ______________________________ |
Key #: ___________ |
||||
__________________________________________________________________________________________ |
|
|||||
(Name) |
|
|
(Business Name – if applies) |
|
|
|
__________________________________________________________________________________________ |
|
|||||
(Address) |
|
|
(Apt or Unit Number) |
|
|
|
__________________________________________________________________________________________ |
|
|||||
(City, State, Zip) |
|
|
|
|
|
|
__________________________________________________________________________________________ |
|
|||||
TELEPHONE (Area Code + Phone Number) |
FAX (Area Code + Number) |
|
|
|||
____________ |
__________________________________________________ |
_______________________________ |
|
|||
(Date) |
(Signature of Safe Owner or Authorized Person selected above) |
(Print Name of Safe Owner) |
||||
State of: _____________ |
|
|
Notary Public Seal or Stamp |
|||
County of: _________________________ |
|
(if notary seal raised or embossed and faxing, please shade over the seal) |
|
|||
Sworn to and subscribed before me
This _____ day of __________, 20 _____.
My commission expires on: ____________, _____, 20 _______
**NOTE: SIGNATURE OF NOTARY MUST BE WITNESSED IN THE PRESENCE OF A NOTARY PUBLIC OF NO RELATION TO YOU**
____________ |
___________________________________________________ |
_______________________________ |
(Date) |
(Signature of Notary) |
(Print Name of Notary) |