Fillable RECORD SERVICES - TRANSMITTAL (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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RECORD SERVICES - TRANSMITTAL (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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BROWSE CLERK OF THE CIRCUIT COURT & COMPTROLLER, PALM BEACH COUNTY FORMS

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RECORD SERVICES - TRANSMITTAL
Date:
Time:
Customer/Account Name:
Escrow Account # (if applicable):
Address:
Phone and/or e-mail address:
Instructions:
• Recording and Index/Photocopy transactions require separate
transmittals
• Must include sufficient payment OR have sufficient funds in escrow
• Large and/or time consuming orders must be scheduled for completion
• Orders must be picked up and signed for within 2 weeks of order date
Ordered
Index/Photocopy Transactions (Ordering copies/searches/CD-ROMs)
Photocopy
Use Only
O.R. Copies
________Image
________Film
________Screens
File Copies
________Cir Civ
________Fam/Sup
________PR/Gd
________D.S.
Plat Copies
________L.S.
________Bond
________Vellum
Services
________Cert
________Exemp
________Not
Index
________Sch Fee
________Cert-Rec
Other
________Postage
________Misc.
Order Total
$
Official Records
Provide book/page and/or search name if
applicable
Specify Service(s)
Entire Document
Only page indicated
Certified
Exemp. –
within U.S.
Exemp. –
outside U.S.
CD-ROM – Index
CD-ROM – Images
Search Name*
Search Legal desc.*
From to .
*Date range required
Court Documents
Please order only one case per order form
Provide ENTIRE case number, including file type and division
Specify pleading by “Docket Entry Number”
Example: 502013CA0001234XXXXAD – D.E.#’s 1 & 3
Specify Service(s)
Entire Pleading(s)
As indicated above
With attachments, if any
Certified
Exemplified –
within U.S.
Exemplified – outside U.S.
Docket Sheets
Entire Case No.
Entire Docket
Docket entry date range required From to
Plats
Provide plat book/page number.
Specify book type if other than
Subdivision.
_________________________________________________
___________________
______ ______
Specify Service(s)
Entire Plat
Only page indicated
Specify Service(s)
Legal (8½” x11”)
Bond
(24” x 36 “)
Vellum
(24”x36”)
Signature:
For service charges and fees, visit:
www.mypalmbeachclerk.com
Mail completed form and payment to:
Joseph Abruzzo, Clerk of the Circuit Court & Comptroller
Records Service Center - P.O. Box 4526
West Palm Beach, FL 33402-4526
If you need assistance, please call 561-355-2932
Pick up address:
CD-ROM orders
205 North Dixie Highway
Record Services
4
th
floor – Room 4.2500
West Palm Beach, FL
Pick up address:
Photocopy/Search Requests
205 North Dixie Highway
Photocopy
4
th
floor – Room 4.2500
West Palm Beach. FL
Revised 1/15/2021
__________
__________
________________________________
_________________________
______________________________________________
______________________________________________
_____________________________
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RECORD SERVICES - TRANSMITTAL (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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Completed 5 July 2021

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