CONTROL NO. ___________
TRANSMITTAL ORDER FORM
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)
____C.A.M.A. Data Set (January)
____Real Property Sales Data Set (monthly)
____New Corporation Listing (monthly)
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
List sort order by field number & name: (for hardcopy output only)
3.CHOOSE OUTPUT MEDIUM:
ALL PRODUCTS WILL BE SHIPPED U.P.S. GROUND AT NO ADDITIONAL CHARGE
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