Order Form

Please fill out the following form, and someone from All Title Services will be in contact with you. Thank you.

	Title Insurance Owners			Title Insurance Lenders			Preliminary Fact Sheet
	Letter Report			Other:

Name(s):			Last 4 SS#:
Phone:			Email:

Name(s):			Last 4 SS#:
Phone:			Email:

Selling Realtor's Name:			Email:
Phone:			Fax:

Title Company to prepare Deed & Transfer	Yes	No
Title Company to prepare Closing Statement	Yes	No
Title Company to prepare Water & Sewer Form	Yes	No
Title Company to prepare Closing Protection Letter	Yes	No
24 Month Chain of Title	Yes	No

Seller's Address (After Closing):

Is the property being sold the seller's homestead?

Yes

Buyer's Address (After Closing):
How are the buyers taking title?:

HWSMP

Single Person

Joint Tenants

Tenants in Common

Other:
Lot Size/Acres:

How many units:

Other:

What will it be used for?:

	Yes		Who is doing DIHLR?
	No		Exclusion Code: W-

Yes

How?

Land Only

Land and Building

Condo

Other

Additional Information

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