Request for Statement of Real Property Status

If you have any questions, please call Rebecca Wallendal at (608) 364-6682

Date Submitted mm/dd/yyyy *

Date of Closing mm/dd/yyyy *

Parcel Number *

Sale or Refinance Sale
Refinance
Other (please explain in the comments section)

Property Address *

Name of Owner *

Requesting Company Name *

Person Requesting *

Requesting Company Billing Address *

Phone Number *

Fax Number

E-Mail Address *

Comments

If the closing date changes, it is the responsibility of the person/company requesting the statements to order a utility usage update by clicking on this link.

Invoices are generated twice a month for all requests and are due Net 30. Please pay from invoice only.