Property Ownership Request Form

Property Ownership Request Form

Requestor Name:   Telephone:

Requestor Email:   Organization (if applicable):

WHEREAS

WHEREAS, Requestor represents that Requestor is a lawful owner or authorized representative with respect to the property described below and seeks a formal record action or verification concerning title, ownership, or deed records; and

WHEREAS, Custodian (recipient of this request) is the entity, office, or representative responsible for maintaining, updating, or issuing records of property ownership for the jurisdiction in which the property is located and is authorized to accept and process requests subject to applicable law and internal procedures; and

WHEREAS, the parties desire to set forth the request, scope of requested actions, associated fees, and mutual covenants relating to this Property Ownership Request in writing to establish clear responsibilities and timelines.

Property Information

Type of Request

Select request type(s): Verify ownership / ownership certification
Record change of title / transfer of ownership
Add owner to title
Remove owner from title
Issue duplicate deed or certified copy
Other:

Scope of Work

Supporting Documents

Requestor certifies that the following documents are attached or will be provided for processing (check all that apply):

Copy of recorded deed
Government-issued photo identification
Affidavit of ownership / authority
Court order or probate documents (if applicable)
Power of attorney or agent authorization
Other:

Payment Terms

Fee Amount:

Late Fee:   or Flat Amount:

Payment shall be due pursuant to the payment schedule above. Failure to make timely payment authorizes Custodian to suspend non-statutory processing or to require additional authentication of documents until outstanding fees are paid. Any dispute concerning fees must be raised in writing within 10 days of invoice.

Term and Termination

Term Commencement Date:   Term Expiration Date:

Either party may terminate processing of this request for cause upon written notice to the other party. Notice Period: days. Termination does not relieve the Requestor of obligation to pay fees for services performed prior to termination.

Confidentiality

Each party shall maintain in confidence all non-public information disclosed in connection with this request and shall not disclose such information to third parties except as required by law or with the other party’s prior written consent. Custodian may disclose information to third parties where required by statute, court order, or governmental regulation; in such event Custodian shall give Requestor prompt notice to the extent permitted by law.

Governing Law

This request and any dispute arising out of it shall be governed by and construed in accordance with the laws of the state of without regard to conflict-of-law principles.

Certifications and Authorization

By signing below, Requestor certifies under penalty of perjury that all information provided in this request and all supporting documentation are true, accurate, and complete to the best of Requestor's knowledge. Requestor further certifies that Requestor is authorized to make this request or has attached evidence of such authorization.

Entire Agreement

This document constitutes the entire agreement between Requestor and Custodian with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations, and understandings, whether written or oral. Any amendment must be in writing and signed by both parties.

Requestor acknowledges that processing timeframes may be governed by statute or Custodian policy and that Custodian may require additional documentation or verification prior to completing the requested action.

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