Order Form Contact

Order Form

* Indicates required field

Date *

Ordered By *

Email *

Phone Number *

Fax Number *

Owner(s) of Property *

PROPERTY TO BE ABSTRACTED/SEARCHED:

County *

Lot # *

Block # *

Subdivision *

Brief Legal Description (Section-Township-Range) *

BILLING INFORMATION (responsible party for payment):

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Fax Number *

Deliver To: *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Seller's Realtor: *

Buyer's Realtor: *

Is Fairview Abstract Company Closing: *

Yes No

Requested Closing Date: *

Title Policy *

Lenders

Amount: *

Title Policy *

Owners

Amount *

Insured Lender: *

insured Owner: *

TITLE SEARCH REPORT (if not abstracting):

From Date: *

To Date: *

Any Additional Comments: *

**An order has not been paced until this form is completed. Note: By requesting this work order, the party placing the order agrees to pay Fairview Abstract Company for its services in completing the work order. This work order is not contingent upon any contract, loan approval or sale closing, or any other contingency. The appropriate party is agreeing to be responsible for payment. Fairview Abstract Company reserves the right to require a partial payment at the time the Order is placed, with the balance due upon completion of the work. Fairview Abstract Company reserves the right to require payment in full before releasing the abstract or other documents or delivering them to the party listed above.

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