title order form

221 N.W. Fifth Street, Evansville, IN 47708
Phone: 812.421.8405 • Fax: 812.421.8406

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Order Form
* denotes required fields

Sender Name*:
Phone*
(including area code):
Office:
FAX
(including area code) :
Email:
Estimated Day of Closing
(mm/dd/yyyy):
Buyer Name*:

 
Buyer Street Address:
City:
  State*:    ZIP*: 

 
Seller Name:
Seller Street Address:
City:
  State*:    ZIP*: 
Location of Prior Title Work:
Property Location/Address*:
Legal Description:
County*:
Lender:
Services:
Title and Judgment Search: Number of Years (if specific)
Owner's Title Commitment and Policy Preparation
Lender's Title Commitment and Policy Preparation
SMR/Lien Search Only
Deed and Sales Disclosure Preparation
Insured Closing
Other
Owner's Policy Amount:
Loan Policy Amount:
Additional Comments:
Please note that we require a copy of the Purchase Agreement to properly assist you. You may either email it to us, or fax it to (812) 421-8406. To prevent unnecessary delays, please do not consider your order submitted until you have received a confirmation from our office.  If no confirmation is received, please call our office at (812) 421-8405.