Owner Information for Easement

Mandatory fields marked with an asterisk (*)

Project

• *Name of PROJECT:

Project Owner

• Complete legal name, mailing address and phone number of PROJECT OWNER (including name of person to contact if a company):
• *First Name:
• Middle Initial (Optional):
• *Last Name:
• *Address:
  
  
• *State:
  Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• *Zip Code:
• *Phone Number:
• *Email:
   
• *Is project owner also the owner of the real property across which easement must be obtained?
  YesNo

Property Owner

• If No, complete legal name, mailing address and phone number of PROPERTY OWNER:
• *First Name:
• Middle Initial (Optional):
• *Last Name:
• *Address:
  
  
• State:
  Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• *Zip Code:
• *Phone Number:
• *Attach legal description of easement suitable for recording in Montgomery County real property records:
• *Attach drawing of easement suitable for recording in Montgomery County real property records: