CONTROL NO.:

Bill to:			Ship to:
Contact Name:			Phone:	( ) -

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 that which is current please note on line marked "Comments". The updating inter val is noted in parentheses.

   Corporate Master File	(Monthly)
   Uniform Commercial Code (UCC) File	(Weekly)
   Real Property Public Data Record	(Semiannually)
   County:
   CAMA File	(January)
   County:
   Real Property Sales File	(Monthly)
   New Corporation Listing	(Monthly)
   Comments:

2. CHOOSE THE ACTION REQUIRED:

   Entire Complete Copy

   Selected Copy (fill out select and 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 and name: (limit 3 fields)

   1. .
   2. .
   3. .

3. CHOOSE OUTPUT MEDIUM:

   9-track 1/2" reel to reel tape (file layout same as input file; including packed fields)

   1600 BPI           6250 BPI

   ASCII fixed length format diskette

   3.5" - 1.4 MB           5.25" - 1.2 MB

   Hardcopy 11" x 8 1/2" Printout

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

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   Departmental Disclaimer:

   The requestor agrees to waive any liability which the Department of Assessments and Taxation (DAT) has or may have resulting from the use of DAT¹s information (the information). This waiver includes, but is not limited to, any reliance by the requestor 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 its present format in any commercial endeavor.

   SIGNATURE OF PURCHASER		DATE		REPRESENTING