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CORTLAND COUNTY REAL PROPERTY TAX SERVICES 60 CENTRAL AVENUE, ROOM 129 CORTLAND, NY 13045 Laura Fox Telephone: (607)753-5040 Director Fax: (607) 597-2064 IMAGE MATE ONLINE LICENSE APPLICATION $300 – YEARLY FEE NUMBER OF ADDITIONAL USERS @ $30 YEARLY FEE TOTAL DUE: CURRENT EXPIRATION DATE: I HEREBY APPLY FOR A NON-TRANSFERABLE LICENSE TO USE CORTLAND COUNTY IMAGE MATE ONLINE: NAME: COMPANY NAME: ADDRESS: ADDRESS: CITY, STATE, ZIP: TELEPHONE NUMBER: EMAIL ADDRESS: NAME: USER NAME: ---PAGE BREAK--- License for Use of Cortland County Image Mate Online to Access Real Property Data This license is granted to the Licensee, for the use of Image Mate Online for Cortland County data. This license is not assignable by the licensee. This license is for the use by only those persons provided on the application. If this license is granted to a business entity, any additional users must be associated with the business as an owner, officer, employee or agent. Please provide Cortland County Real Property current and accurate list of names of each person who are authorized users. If the user changes during the year, please notify this office of the change and provide the name of the new user if applicable. Pro-rated rates will apply if a new user is added during the year. Cortland County Real Property Tax Services may terminate the license for non-compliance with the requirements set forth above, without a refund of any portion of the fee paid. I have read and agree to the terms of this license. Date: Sign: (Licensee) MAKE CHECKS PAYABLE TO: CORTLAND COUNTY REAL PROPERTY OR CALL US WITH CREDIT CARD INFORMATION