ESS Business Application"*" indicates required fields On behalf of the organization specified below, we request authorization to access and utilize the designated Iowa Land Records applications as published by the Electronic Services System. By submitting this application to become an authorized user of the designated Iowa Land Records applications, we certify that we have reviewed the Electronic Services System Terms of Use. We agree to abide by all terms and conditions specified therein.Please provide the following information. All information is required. Incomplete applications will not be processed.Application Authorization Request – Check all that apply.* We request authorization to access the Iowa Land Records E-Submission (electronic filing) service. We request authorization to access the Iowa Land Records Search service.IMPORTANT NOTE: If you are an INDIVIDUAL seeking permission to access your personal or family records online, STOP. Instead, please GO HERE to gain access to the Iowa Land Records Individual Search service.ORGANIZATION TYPE Please identify your business type – Check ONE that fits best* Abstract or Title Co. Bank Brokerage Co. - Commercial City Government County Government Credit Union Federal Government Law Firm Media or News Organization Mortgage Co. Realty Co. - Residential Research Company State Government Survey or Engineering Co. Utility Other (please specify)OtherHow did you hear about Iowa Land Records? (Check all that apply)* Social Media County Recorder’s Office or other government employee Colleague or Co-Worker Google or Other Search Engine Other (please specify)OtherORGANIZATION INFORMATIONRegistered Organization Name*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code*Organization Phone Number*Organization Web Address (URL) Business Registration InformationSecretary of State Business Number (For Iowa: https://sos.iowa.gov/search/business/search.aspx)Secretary of State Business NumberORTrade Name (Enter Recording Reference Number or Book/Page and Date of Recording)Trade Name (Enter Recording Reference Number or Book/Page and Date of Recording)County (where Trade Name was filed)Date of Recording MM slash DD slash YYYY ORGANIZATION ADMINISTRATOR INFORMATIONAn organization is required to establish an administrator who will be responsible for the management of the organization’s profile and account. The administrator will also have the authority to establish other users who may access the organization’s account.Please specify a username (user ID) for use when logging in to the account. (Not case sensitive, length of 6 to 50 characters, use only alphanumeric chars (alpha upper/lower, 0-9), and be unique)Requested User Name:*Name* First Last Email* Verify Email* AGREEMENT*I represent and warrant that on behalf of the organization specified above I have the right, power and authority to enter into and perform the obligations under this agreement. Agreement - user is authorized, information is accurate. I have taken all requisite action (corporate, statutory, or otherwise to approve execution, delivery and performance of this agreement, and this Agreement constitutes a legal, valid and binding obligation of the applicant, enforceable in accordance with its terms.Agreement - user is authorized, information is accurate* I agree that the information submitted herein is complete and accurate.Agreement - Terms & Conditions* I agree that the organization has reviewed and accepted the Electronic Services System Terms of Service.E-Signature*Date* MM slash DD slash YYYY