Record Owner	enter text	Phone Number:	enter text
Contract Purchaser:	enter text	Phone Number:	enter text
Tenant/Lessee:	enter text	Phone Number:	enter text

Date	Entry

Date	Manner of Contact
Owner Contacted	enter date	Choose an item

Persons or firms contacted
Date	Name	Phone	Address
enter date	enter name	enter phone	enter address
enter date	enter name	enter phone	enter address
enter date	enter name	enter phone	enter address

ELECTRONIC SIGNATURE CONSENT

By my signature/typewritten name, I declare under penalty of perjury and the laws of the State of Montana that the foregoing is true and correct and contains no willful falsifications or misrepresentations.

Signature (Typed Name)	Date	Place of Signature (City, State)
Choose a date

Consultant Signature (if applicable)	Date