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Date Ordered:

Date Required:

Property Name:

Property Address:

City:

Borough:
(Please provide if known)

Block:
(Please provide if known)

Lot:
(Please provide if known)

Property Use:

If Other please specify:

Name of Lender :
(To whom report should be certified)

Firm ordering Report:

Firm Contact Name:

Firm Phone Number:

Firm Email:

Firm Fax:

Inoice Company Name:

Inoice Company Contact:

Invoice Phone:

Invoice Email:

Invoice Fax:

Type of Service Requested: Complete New York City Zoning Summary (includes zoning district, overlays, zoning requirements, conformance/compliance determination in accordance with 3.0 and 3.1 ALTA guidelines, building violations, environmental control board violations, certificates of occupancy and all applicable code sections and zoning map.)

Please Note: Survey must be provided for compliance determination.