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Name:

Company:

Phone:

Email:

Company Address:

Legal Information:

Survey Needed:

Addl. Survey Needed:

PROPERTY INFORMATION

G.F./File# :

Property Address:

Check if Dogs at PropertyCheck if Property Has Locked Gate

Lot # :

Block # :

Subdivision:

Listing Agent:

Listing Agent Phone:

Comments/Special Instructions:

Schedule A/B (Optional) Choose File
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INVOICE TO:

Send Invoice to Company Address

If different, please provide the following information.

Name:

Address:

SURVEY AGREEMENT

By submitting this Survey Request, you are agreeing to the terms and conditions of this Survey Agreement with Alliance Land Surveyors, LLC.

It is the Client/Title Insurance Company’s responsibility to provide Alliance Land Surveyors ,LLC with record data related to set-backs, easements, restrictive covenants, and other encumbrances that are to be depicted on the plar of the survey.

Properties with incorrect, illegible or unavailable Plats, Deeds, other necessary documentation, may require additional completion time and/or pricing adjustments: as would adverse weather conditions and/or property access issues. If remarking of any missing monuments on the groung shown on the survey is required, it will be done within a reasonable timeframe and only upon receiving the full payment.

The client agrees that all information provided on this request is true and accurate to the best of your knowledge: the client accepts full responsibility of the information provided.

It is agreed that the Contact person invoiced on this request is responsable for the fees and payments of the requested survey(s). It is agreed that Private Clients must pay in advance. If we are to invoice the Title Company, the Title Company, the Title Company Contact on this agreement will make the payment within 30 days of survey completion. Alliance Land Surveyors, LLC will consider the survey(s) null and void and will assume no responsibility or liability ahould the payment not be made.

Thank you for choosing Alliance Land Surveyors, LLC!

Yes, I agree to the terms of this agreement: please submit my Survey Request.