Order Forms Order for Abstracting, Closing Services and/or Title Insurance Name Buyer and Seller Information Buyers Name: * Buyers Mailing Address: * Buyers Phone Number: * Buyers Email Address * Buyers SSN/Tax ID * Sellers Name: * Sellers Mailing Address: * Sellers Phone Number * Sellers Email Address * Sellers SSN/Tax ID * Property Information Property Address: * Legal Description: * Attach page if necessary Legal Description Document Lending Institution Lenders Name: * Lenders Address: * Lenders Phone Number: * Loan Officer: * Branch: * Extension: not required Additional Information Check all that apply Additional Info Have Sales Contract (attach below) Update Abstract Create New Abstract Title Insurance Realtor/Broker Involved (see below) Title Opinion Survey Required Earnest Money* Termite Certification Required Hazard Insurance Required Appraisal Required Sales Contract if applicable Earnest Money Realtor Information Realtor Name: Realtor Address: Realtor Phone Number: Sales Commission % Notes Provide Notes Here: Acknowledgement By signing this form, you confirm that you are giving Leflore County Abstract & Title, LLC authorization to perform the services indicated herein. Signature * Date * LCAT Fee SchedulePreliminary Abstracting, Final Abstracting, Additional TractsView
