Date:

Ordering Company/Individual:

Client Contact: Phone: Fax:

Address: Email:

ALTA Loan Policy $ Owners Policy $

ALTA 06 Policy ALTA 98 Policy

Deed Only Current Owner Search

Property Address

City County

Brief Legal Description

Current Owner(s)

Seller's Mailing Address

Seller's Phone Seller's Cell Phone

Borrower/Purchaser(s)

Hold Title As: Husband and Wife Joint Tenants with Survivorship Rights Co-Trustee Tenants in Common

Buyer's Current County State

Buyer's Phone Buyer's Cell Phone

Cash       Lender, if getting a mortgage please answer the following questions:

Lender Loan Officer

Company Mailing Address

Company Phone Number Company Fax Number

Type of Loan

Closing to be handled by Young's       Others

Closing or Approximate Closing Date
(You must contact Young's Title and Abstract closing department to schedule a closing)
Note: Unless otherwise requested an ALTA Short Form Loan Policy will be provided when Young's conducts the Closing.

Requirements No Survey       Survey       Survey Affidavit

If survey is required, who is to order Young's       Other

If other, specify a survey company to use

Young's to prepare Deed Yes        No

Endorsements Required

Prior Title Evidence or Abstract Available Yes        No

Special Instructions

Listing Realtor Company

Selling Realtor Company