TOWN AND COUNTRY SURVEYORS, LLC - ESTIMATE FORM

Phone # (281) 465-8730 Fax # (832) 482-3992

FILL OUT ALL OF THE INFORMATION THAT YOU HAVE:

DATE:

G.F. NUMBER:

PLEASE FAX SCHEDULE A & B OF TITLE COMMITMENT IF AVAILABLE

ORDERED BY:

PROCESSOR'S NAME:

REQUEST IS FOR:

LOT SURVEY*

BOUNDARY

TOPOGRAPHIC

ELEVATION CERT

FORM

TELEPHONE:

FAX:

LENDER:

LIEN OFFICER:

PURCHASER(S):

ACREAGE:

PROPERTY ADDRESS:

CITY AND ZIP:

LOT(S):

BLOCK:

SECTION:

VOLUME:

PAGE:

SUBDIVISION:

COUNTY:

ZIP:

TITLE COMPANY:

TELEPHONE:

CONTACT:

FAX:

SELLER(S) NAME:

HAS THIS IS OR IS THIS PROPERTY THE RESULT OF A TAX SALE:

SPECIAL INSTRUCTIONS OR CERTIFICATIONS (IF ANY):

BELOW FILLED OUT BY

TOWN AND COUNTRY LAND SURVEYING

FIELD CREW INSTR:

ABSTRACT NAME & #:

COMMENTS:

This is an estimate only form, by returning the form you will not be committed to a survey until you sign the form.

* ONLY LOTS IN RECORDED SUBDIVISION