Online Application
* Denotes Required Items
Information about the Property
Property Location:
*
City:
*
State:
*
Zip Code:
*
County:
*
Legal Description or Tax Key Number:
Information about the Buyer & Seller
Primary Seller/Owner
Company Name:
Full Name:
Additional Sellers/Owners:
*
Mailing Address:
*
City:
*
State:
*
Zip Code:
*
Phone Number:
Primary Buyer
Please Check if for Reference only:
Company Name:
Full Name:
Additional Buyers:
*
Mailing Address:
*
City:
*
State:
*
Zip Code:
*
Phone Number:
Title Services Requested
*
Services:
Title Insurance
Letter Reports
Flood Hazard Determination
Abstracts of Title
Closing Services
Construction Escrow
*
Need by Date:
*
Sales Price:
*
Loan Amount:
*
Prior Title Evidence:
Yes
No
(If Yes) File #:
Special Instructions:
How Can We Contact You
*
Company Name:
*
Full Name:
*
Mailing Address:
*
City:
*
State:
*
Zip Code:
*
Phone Number:
*
Email Address:
Fax Number:
Comments:
For questions or further information, contact
info@langladeabstract.com
or call 715-623-4770
<%End Select%>
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