Real Estate Request Offered by the City of Kaukauna, Wisconsin

Request Real Estate Report

This request will provide a report containing information available at City Hall concerning the subject property as of the date(s) noted and is supplied at your request. It is understood that this form is issued subject to errors and omissions and shall not be binding upon the City of Kaukauna. In accordance with Section 19.35 (1), Wisconsin Statutes, you are entitled to examine the public records in the appropriate City offices and verify the information to your own satisfaction.

A $25.00 processing fee is required for each report you request.

INSTRUCTIONS


Personal Information	* Required

First Name: *	Last Name: *

Address 1:

Address 2:

City:	State:	Zipcode:

Phone: *	Fax:
- -	- -
Email:

Deliver Request by:	Email Mail Fax

Payment Information

Credit Card Type:	**
Credit Card Number:	**
Credit Card Expiration:	/ **
	** You are authorizing use of your credit card for payment of this request by providing this information.

Or

Pre-Authorization Number:

Real Estate Information

Parcel Number: *	- -	(ex. 321-0002-002)

Or

Street Number: *		(ex. 100, 200, etc.)
Street Direction:
Street Name: *		(ex. Canal, Doty, Eighth, etc.)
Street Extension: