REGISTER OF DEEDS

TAYLOR COUNTY COURTHOUSE  

224 S. Second St.                                                        

Medford,  WI  54451

Phone: 715-748-1483   Fax 715-748-1446

E-Mail: jaymi.kohn@co.taylor.wi.us
 

LANDSHARK ESCROW ACCOUNT RECEIPT

Regarding Sale of On-line Access to Real Estate Records

The firm of ___     ___________________________________________________________  whose address is ____     _____________________________________________________, hereby establishes ’LandShark’ escrow account for the amount of  _     _______________ (must be at least $25) for the purpose of receiving on-line access to the computerized real estate index and images available  in the offices of the Taylor County Register of Deeds.

____     _______________________________________      ___     _______________________

Name of firm officer                                                                             Date

Name and email of contact person:__     __________________________________________

________________________________________________________________________

Received $ __________________ from the above firm on ________________________.

____________________________________________     ___________________________

Jaymi S. Kohn, Register of Deeds                                                   Date

Note:  Please give 3 weeks notice if you wish to discontinue the escrow account.   Customers are expected to keep a positive escrow balance.  If you wish to terminate this escrow account, be advised that we are unable to write checks so you will need to draw down your account in order to discontinue

FIRM CONTACTS

Please provide the names, phone numbers, fax numbers, and email addresses for two staff persons who will serve as a point of contact.

FIRM NAME:      

Contact 1:                                                         Contact 2:

Name:                                                           Name:        

Phone:                                                          Phone:       

Fax:                                                              Fax:           

Email:                                                           Email:        

SYSTEM USERS:

Please provide the names of any additional staff that will use the Taylor County real estate tract index and images website.

1.              

2.              

3.              

4,              

5.              

6.              

To be completed by  Taylor County

LOG IN  USER NAME:      

             PASSWORD:      

ASSIGNED BY/DATE:        

BILLING BY/DATE: