City Title Company Title Search Order Form

1.) *Owner's Name:

2.) Owner's Marital Status: Married Single

     (If married, what is spouse's name)

3.) Name and Address of Property:

     *Street Address *City

     *State Zip/Postal Code

     Lot No. Parcel No.

4.) Full Name of Purchasers (First, Middle, Last)

    First Person Spouse or Other

5.) Sale Price of Property $

6.) Name of Bank or Financial Institution Purchaser is Using:

    Name of Institution Contact Person                          

    Phone Number Fax Number                                     

    Address Loan Amt. $

7.) Person Ordering this Title Work:

    *Name *Company  

    *Address *Phone#  

    Fax#

8.) Additional Services?: Title Guarantee Title Insurance Survey Termite Inspection Deed Preparation

9.) Special Instructions:

Recheck to make sure you did not mistype anything then print out this page and fax it to (330)747-5043.