Account #_________
Company/Individual Name _______________________________________________________
Person Responsible for Account
___________________________________________________
Contact Person______________________________ Phone #
(_____)_____________________
Billing Address_________________________________________________________________
Email Address:_________________________________________________________________
UserID_________________________ Preferred
Password:______________________________
(Minimum 6 letters)
Beginning Service Date _________________________________________________________
*****************************************************
Terms & Conditions
We ask you to be aware that the information on this website is placed there for
the convenience of the public and this office assumes no responsibility for the
accuracy or completeness of any one item. Please make every effort to verify the
information before relying on it. E-mail with this office may enhance
communications with subscriber, but will not be recognized as “official”
communication or notice as may be required by law. Application for Internet
Access
http://www.eastfelicianaclerk.org
Civil, Criminal, Conveyance, Mortgage & Marriage images are available on line at
this time.
Check the requested service: ____X___ Initial
set-up fee - $100.00
________Indexes - monthly fee $50.00
________Indexes & Printable Images - monthly fee $100.00
All fees must be paid in quarterly advances.
I have read and accept the terms and conditions.
Date____________________ Authorized Signature
____________________________________
Please Print Name ____________________________________
Return form with advance payment to: East Feliciana Parish Clerk of Court
P. O. Drawer 599
Clinton, LA 70722
225/683-5145