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Disclaimer:
This site is not designed for the transmission of highly confidential customer, non-public personal information, and should therefore not be used to enter or transmit data such as customer Social Security Numbers or Driver's License Numbers.
Please complete fields appropriate to your order. Do not press ENTER until end - use TAB to advance to next field.
Please press submit button one time only. If you experience any difficulty with this online form, please contact your Fidelity representative for assistance. Thank you!
Fields marked with
*
are mandatory.
YOUR INFORMATION
*
Ordering Party:
--Select an Ordering Party--
Attorney
Government
Lender
Mortgage Broker
Real Estate Agent / Broker
*
Company Name:
*
Address:
*
City:
*
State:
--Select a State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C
West Virginia
Wisconsin
Wyoming
*
Zip:
Phone #:
ext
Fax #:
ext
*
Contact Name:
*
Email Address:
*
Confirm Email Address:
Reference #:
OWNER INFORMATION
Name:
Name:
SUBJECT PROPERTY INFORMATION
Property Type:
--Select a Property Type--
Commercial
Land
Other
PUD
Residential (Condo)
Residential (SFR)
Address:
City:
State:
--Select a State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C
West Virginia
Wisconsin
Wyoming
Zip:
County:
LEGAL DESCRIPTION
Lot:
Block:
Tract:
Map Book:
Page:
Tax/APN:
Full Legal Description:
SERVICES REQUESTED
REPORT FORMAT:
6 Line
1 Line
Other:
(Required if
Other
is selected)
INCLUDE IN REPORT:
Owner Occupied
Absentee Owners
Only Records Phones
Area Sales Statistics (If Available)
Other:
(Required if
Other
is selected)
LABEL FORMAT:
Site Address
Mail Address
Include:
Carrier Routes
Salutation
Owner Name From Data
Current Resident
Bar Code
DATA FORMAT:
ASCII (Comma Delimited)
DBF
Tab Delimited
Other:
(Required if
Other
is selected)
(NOTE: All data provided on 3.5" disks unless otherwise requested)
SORT RECORDS, LABELS OR DATA BY:
Owner's Last Name
Document Date
Land Use
Parcel Number
Price & Stamps
Site Address
Total Assessment
Mail CRT
Site CRT
Other:
(Required if
Other
is selected)
DELIVERY METHOD:
Fax
Courier (Where Available)
Sales Rep to Deliver
U.S. Mail
E-Mail
Other:
(Required if
Other
is selected)
SPECIAL INSTRUCTIONS
Any additional information or instructions:
Please Identify Your Sales Representative:
--Select a Sales Representative--
Camille Hedges
Jaliffa Malvino
Jim Scally
Kevin Melberg
Kimberly Waite
Laura Fitchie
Vivian Chia
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