Owner's Policy Order Form

To place a title insurance order, please enter the following information:   

Order Purchase Transaction
Order Preliminary Report/Search & Hold (complete * items only)
Ordered by:
*First name:
   
*Last name:
   
*Company name:
*Address:
*City:
*State:
*Zip:
*Phone number:
*Fax number:
*Email address:
   

Sales price:
   
*Property address:

*Tax Parcel #:

Anticipated closing date:
   

Listing broker:

Selling broker:

 

*Sellers name(s):
Sellers forwarding address:
City:
State:
Zip:
Phone number:
Email address:
Sellers Attorney: 
Phone number:
Fax number:
Email address:
   

Buyers name(s):

Buyers address:
City:
State:
Zip:
Phone::

 Fax number:

Email address:
   
Buyers Attorney: 
Phone number:
Fax number:
Email address:
   
Buyers Lender: 
Loan Officer: 
Phone number:
Fax number:
Email address:
   
Do you have the following:

Prior title: 

Yes

Abstract: 

Yes

No

No
 
Other:
Date needed:
   
Closing Statement Preparation:
Prepare closing statements:  Yes
No
Commission amount or percent:
Homeowners warranty:  Yes*
No

* if yes, amount and company name:

Amount:
Company name:
 
Any additional invoices:
Deed Preparation Information:
Buyers to take title as:
Husband and wife, survivorship marital property
Single
As tenants in common
 
Buyers moving to property?  Yes
No
 
Homestead of seller?  Yes
No
   
Is Seller related to Buyer? Yes*
No

* if yes, what is relationship:

Primary use of property:
Residential
Commercial
Agricultural
Type of transfer:
Sale
Gift
Exchange
Other:
Lot size or acreage:
Additional comments:


WE APPRECIATE YOUR BUSINESS!

 

 

 

 

County Land & Title, LLC

739 Grand Avenue, Schofield, WI 54476

Phone: (715) 355-0094   Fax: (715) 355-7815

clt@title-pros.com

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