Delta Abstract & Title Agency


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ORDER FORM

A Delta Title Representative will confirm your request by e-mail, fax or phone, whichever you choose.     

     

(Tip: Hit the tab button after typing information to move to the next entry.)

 

*Required Information

DO YOU PREFER TO HAVE YOUR REQUEST CONFIRMED BY E-MAIL, FAX OR PHONE?    

   E-MAIL     FAX    PHONE

WILL DELTA ABSTRACT BE CLOSING?  YES    NO

*ORDERED BY:  

*ORDER DATE:  

*ADDRESS LINE 1:

ADDRESS LINE 2:

*CITY: 

*STATE: (use two-letter abbreviation) *ZIP CODE:

YOUR E-MAIL ADDRESS:

*PHONE: (please include area code)

FAX: (please include area code)

COPIES TO: 

SELLER(S) NAME:

MARRIED: 

YES  NO

BUYER(S)/MORTGAGOR(s) NAME:

MARRIED: 

YES  NO

LEGAL DESCRIPTION:

IS THERE A MOBILE HOME TO BE INSURED ON THE MORTGAGE POLICY?            YES            NO

TAX ID NUMBER:

SEARCH:    FROM WHAT DATE OR INSTRUMENT FORWARD?

       

OWNER'S POLICY:  $

WITH EXCEPTIONS 

WITHOUT EXCEPTIONS

MORTGAGE POLICY: $

WITH EXCEPTIONS 

WITHOUT EXCEPTIONS

LENDER:

ADDRESS LINE 1:

ADDRESS LINE 2:

CITY: 

STATE: (use two-letter abbreviation)  ZIP CODE:

PHONE: (please include area code)

FAX: (please include area code)

PRIOR WORK -

ABSTRACT? YES  NO 
POLICY? YES NO

RESIDENTIAL YES    NO     COMMERCIAL  YES   NO

ANY SITUATIONS TO DISCLOSE UPFRONT?     YES   NO

DIVORCE  YES NO 
PROBATE PROCEEDINGS YES NO 
ESTATE MATTERS YES NO

LENDER - PLEASE FILL OUT ADDITIONAL INFORMATION

CONSTRUCTION

INSURE END LOAN ONLY?     YES        NO

HOMEQUITY  

PURCHASE MONEY MORTGAGE

REFINANCE 

ADDITIONAL NOTES:  

 

 

 

Delta Abstract and Title Agency, Inc.

201 Ludington St.

P.O. Box 585

Escanaba, MI  49829

Telephone:  906.786.3582

Facsimile:  906.786.3581

 

General E- Mail:  datco@up.net

 

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Last modified: September 12, 2010