Requester Information

* Denotes required field

Business Name

Contact Name *
First

Last

Your Email *

Phone Number *

Fax Number

Mailing Address
Street

City

State

Zip

Map Information

Each field completed below this point may reduce the $50 Research Fee

Surveyor's Name
First

Last

Type of Survey: i.e. Property, Topographical, Subdivision, Construction Planning, etc.

Property Location Street or Road Name/Number of Survey Location Description: i.e. west side of Route 6; 300 yards north of Smith Road, etc.

Date of Survey

Township/Borough

Name on Survey Plan

Tax Map Number / Tax Parcel Number

Map File Number (if Recorded in County Records)

Survey Plan Number

If the survey map is referenced in a recorded deed, please provide either the Deed Book and Page or the Instrument Number of the deed.
Deed Instrument Number

Deed Book/Page

Description of information needed

Map Pricing

Pricing for Map Copies
Map copies will not be signed or sealed
Please check ONE box for map type requested

Number of additional copies, $10 each:

Sub-Total
PLUS Research Fee

PAYMENT is expected upon receipt of the map.
Cash or Check (made payable to LSG)

Detailed Invoice of total will accompany map