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Fairfax County Circuit Court
DMZ Cover Sheet Application v2.3
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One Cover Sheet Per Document
Instrument Type



Names to be indexed (Last, First Middle)  Type  Trustee  Firm 




Consideration Consideration/Actual Value %
Amount Not Taxed
(Assumption or Original Trust)
Actual/Assessed Value
Tax Exemption Code Section
DEM Number Original Book
Original Page

Title Company Title Case #
Tax Map Number
County City
Grid   Quad   Filler   Double
Circle
  Single
Circle
  Lot   Sublot
###   #   *   ##   **   ####   **    ? 
- - - - - -
1-3   4   5   6-7   8-9   10-13   14-15




Property Description
Multiple Lots?
Return to Party:
Name:
Address:

# of Pages
(8 1/2 x 14 or Smaller)
Oversized Plats
(Larger than 8 1/2 x 14)
# of Cover Sheet Pages
 
# of Copies
 
# of Oversized Plats Copies
 
Certified
 
Page Ranges
 
Disclaimer
These fee calculations are intended to cover the typical cases. Call the Land Records office for assistance with special cases. Fees subject to change without notice.