21980 W. St. Rt. 51
Genoa, OH 43430
419-855-9944 phone
419-855-9933 fax

Request Title Search

Please complete all the fields marked with an asterisk(*). Also, provide any additional information you may have.

Ordered By: *

Lender: *

Branch:

Location of Closing:

Type of Order: *

Policy Amount: *

Type of Loan: *

EPL Endorsement: *

Prior Policy

Survey Coverage: *

Closing Protection Coverage: *

Prior Survey Available:

Borrower(s) Information


Name: *

Address: *

Primary Phone: *

Secondary Phone:

Attorney:

Attorney Phone:

Attorney Fax:

 

Owner(s) Information


Name: *

His SS #:

Her SS #:

Address: *

Primary Phone: *

Secondary Phone:

Attorney:

Attorney Phone:

Attorney Fax:

 

Address of Property: *

City: *

State: *

Zip: *

County: *

Legal Description (if available of attach copy):

Current Mortgage / Loan Account #s:

Additional Information: