County Clerk Property Records Copy Request Form
***THIS FORM IS NOT TO BE USED FOR BIRTH OR DEATH CERTIFICATE***
***OR MARRIAGE LICENSE REQUESTS***
Department: Recording
Date:
To: Denton County Clerk, Juli Luke
FAX Number: 940/349-2019
From: Name:
Fax: ( ) ______-_______ Phone number: ( ) _____- ________
Authorized Signature: ______________________________________________________
This form authorizes the merchant (VitalChek) to charge my account for services rendered by the County Clerk's office, plus a $2.50 service fee. A base
percentage of 4% will be charged on credit transactions over $50.00. Please see our website for additional fees.
Please list documents requested: Select Plain Copies
– or –
Certified Copies
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Visit www.dentoncounty.com/recordingsearch to obtain document
numbers
Doc. # __________________________________________
Doc. # _
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Doc. # ________________________________________________________
Doc. # ________________________________________________________
Doc. # ________________________________________________________
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Address to send documents: _________________________________________
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Payment Information
Name as it appears on Card: ______________________________
Credit Card Account Number: _________--_________--_________--__________
(Check which applies) MasterCard
Discover ____ American Express ____ Visa ____
CVV# ___ ___ ___
(security code on back of card) Exp. Date: ___ / ____
Billing Address: _______________________ City _______________ ZIP___________
**Note** The ZIP Code must match the cardholder’s billing address; if not, the transaction will be declined.
• Certified Copies $5.00 per document + $1.00 per page
•
Plain Copies $1.00 per page
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CLERK USE ONLY
TOTAL CHARGES
$____________
click to sign
signature
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