Company or Individual's Name*

Email Address*

Phone*

File Number (if applicable)

Property Owner

Property County*

Property Address

Property State*
---MultipleALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Property Parcel Number(s)

Section - Township - Range

Legal Description

How Far Back Shall We Search?* (year)

Search Type*
---SurfaceMineralSurface & MineralLeasehold

Notes / Special Instructions