CUSTOM FARM REQUEST 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. *Required Fields YOUR INFORMATION Ordering Party  Is: --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: * Reference #: OWNER INFORMATION Owner Name: Co-Owner Name: SUBJECT PROPERTY INFORMATION  Property Type: --Select a Property Type-- Commercial Land Other PUD Residential(SFR) Residential(Condo) If Other, please describe: 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 : Include in Report : 6 Line Owner Occupied 1 Line Absentee Owners Other: Only Records w/ Phones Area Sales Statistics (If Available) Other: Label Format : Data Format : Site Address ASCII (Comma Delimited) Mail Address DBF Include: Tab Delimited Carrier Routes Other: Salutation (NOTE: All data provided on 3.5" disks unless otherwise requested.) Owner Name from Data Current Resident Bar Code Sort Records, Labels or Data By : Delivery Method : Owner's Last Name FAX Document Date Courier (Where Available) Land Use Sales Rep to Deliver Parcel Number U.S. Mail Price & Stamps E-Mail Site Address Other: Total Assessment Mail CRT Site CRT Other: SPECIAL INSTRUCTIONS Any additional  information or  instructions:  Please Identify  Your Fidelity  Sales  Representative: --Select a Sales Rep-- Cathy Mann-Seiple Golda Radefeld Heather Whitacre Lorna Metcalf Martha Edwards Susan Fournier Timothy Ryan Tina Turner Trish Pallazola Wendy Murrian Validate Request: New Image *