CONTROL NO. ___________

TRANSMITTAL ORDER FORM

Bill to:___________________________
________________________________
________________________________
Contact Name:_____________________
Ship to:__________________________
________________________________
________________________________
Phone / Email:_____________________

1. CHOOSE INPUT FILE TYPE: Upon receipt of order, the most recent file available will be used to fulfill the request. If you are ordering a file other than current, please note on line marked "Comments". The updating interval is noted in parentheses.

____Corporate Data Set (weekly)
____Uniform Commercial Code (UCC) (weekly)
____Real Property Public Release Data (January/July)
County___________________________________________________
____C.A.M.A. Data Set (January)
County___________________________________________________
____Real Property Sales Data Set (monthly)
____New Corporation Listing (monthly)
Comments:_________________________________________________________________

2. CHOOSE THE ACTION REQUIRED:

____Entire Complete copy.
____Selected copy. (fill out select & sort information)

List selection criteria include field number, name, and range: (limit 3 fields)
1.__________________________________from_______to_________
2.__________________________________from_______to_________
3.__________________________________from_______to_________

List sort order by field number & name: (for hardcopy output only)
1.______________________________________________________
2.______________________________________________________
3.______________________________________________________

3. CHOOSE OUTPUT MEDIUM:
_____ 9-track 1/2" reel to reel tape. (file layout same as input file. including packed fields.)
____ CD (700MB)
_____ ASCII fixed length file, fixed length field format (SDF file)
____ FTP for Download ____3.5" - 1.4MB Diskette ____5.25" -1.2MB Diskette

_____ Hardcopy 11x8.5 Printout.

ALL PRODUCTS WILL BE SHIPPED U.P.S. GROUND AT NO ADDITIONAL CHARGE

Department Disclaimer:
The requester agrees to waive any liability the Department of Assessment & Taxation (DAT) has or may have resulting from the use of DAT's information (the information). This waiver includes, but not limited to, any reliance by the requester or any other person on the accuracy, completeness or other attributes of the information.

By Signing below, the requestor acknowledges and agrees to this waiver. In addition, the purchaser agrees not to resell or provide copies of the information in their present format in any commercial endeavor.

_____________________________________
SIGNATURE OF PURCHASER DATE
_______________________________
REPRESENTING