State Line Abstract Inc.

Title Search Order Form

PROPERTY ADDRESS:
Address: Twp/Boro/City:
County: Block No: Lot No:
Owners/Sellers: E-mail:
 
SELLER:
Seller’s Status:
Other:
Seller’s Marital Status:
Other:
Seller’s current Mortgage lender, current lender’s telephone number and mortgage account number:
 
BUYERS/BORROWERS:
Buyers/Borrowers Name:
E-mail:
Buyers Address:
Buyers/Borrowers Status:
Other:
 
MORTGAGE LENDER:
Lenders Name: Lenders Telephone:
Lenders Address: Lenders Email:
Sellers Attorney: Buyers Attorney:
Sellers Attorney Phone: Buyers Attorney Phone:
Sellers Attorney Email: Buyers Attorney Email:
Listing Agent: Selling Agent:
Listing Agent Phone: Selling Agent Phone:
Listing Agent Email: Selling Agent Email:
 
Purchase Price:
Mortgage Loan Amount:
Send copies of
commitment/search
results to:
 
Requested Settlement Date:
 
Additional Searches/Services Requested:
 
Applicant Name:
Phone No:
Fax No:
Additional Notes: