Request for Information

Map Copy Fee $25 to $150 – See Below
Possible Additional Research Fee – Dependent on the amount of information provided below, a fee of up to $50 may be charged for research

(applies to all requests)

Requester Information

Business Name

First name

Last name

Phone

Fax Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Map Information

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

Surveyor's Name

First Name

Last Name

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

Deed Instrument 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 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

Map is on file, but reduced and not legible $25

County Map File #, if known

Map is not on file, but called for in deed $40

Deed Instrument # or Deed Book/Page, if known

Map is not on file or called for in deed and party surveyed for is current owner $75

Map is not on file or called for in deed and party surveyed for is not current owner $150

Number of additional copies, $10 each

PAYMENT is expected upon receipt of the map.

Cash or Check (made payable to LSG)

Detailed invoice of total will accompany map

Specify deliver option

Email (PDF Format)

Pick-up

US Postal Service

Request for Information

Requester Information

Map Pricing

Phone: 570-724-3395

Fax: 774-759-3396

10139 Route 6, Wellsboro, PA 16901