ORDERING TITLE WORK

Is this regarding a -

Commitment Revision Search Verbal

If this is a revision or verbal, enter current file no.

Property Address

Township/City/Village

County

Legal Description

Tax Property ID No:

Type of Property

Improvement

Existing Rights

Sellers Name

Is seller deedholder?

If the seller is a land contract vender, please furnish the following:

Name of Deedholder

Date of Land Contract

Status of Seller:

Divorced Land Contract Vendor Deceased

Probate No.

County

Transaction Will Be

Existing Lien?

Name of Lien Holder (If Applicable)

Transaction Details

Amount of Insurance

Owner's Policy

ALTA Mortgage Policy

Select One

Parties

Buyer's Name(s):

Lender's Name(s):

Borrower's Name(s):

Charge / Send Owner's Policy To:

ATTN:

Copy To:

Charge / Send Mortgage Policy To:

ATTN:

Copy To:

Policy for credit?

Policy No.

Date

Date Wanted?

Proposed Closing Date

Any Special Instructions?

Applicant

E-mail Address

Phone Number

FAX Number

ORDERING TITLE WORK

Existing Rights

If the seller is a land contract vender, please furnish the following:

Transaction Details

Amount of Insurance

Parties

Please fill out this form as completly as possibly

Owners:

ORDERING TITLE WORK

Existing Rights

If the seller is a land contract vender, please furnish the following:

Transaction Details Amount of Insurance

Parties

Please fill out this form as completly as possibly

Owners:

Transaction Details

Amount of Insurance