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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:

Name:

Email:

Phone:

Fax:

Processing Fee:

Paid By: Buyer Seller

Title Company to prepare Deed & Transfer?	Yes No
Title Company to prepare Closing Protection Letter	Yes No
24 Month Chain of Title	Yes No

Seller's Address (After Closing):	Buyer's Address (After Closing):
Is the property being sold the seller's homestead?	Yes No

How are the buyers taking title?
H&W as SMP Single Person Joint Tenants Tenants in Common

Other:	Lot Size/Acres:

How many units:

Other:

What will it be used for?:

No Yes

How?

Land Only Land and Building Condo Other

Document #1:

Document #2:

Document #3:

Document #4:

Additional Information

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All Title Services, Inc. is an agent
of First American Title.