Liberty Title and Abstract Inc.
 

TITLE INSURANCE ORDER FORM
(FOR THE SALE OF REAL ESTATE)

 
Date Ordered 
Ordered By 
Phone Number 
Email Address 
Closing Date 
Date Needed By 
County 
Property Address 
Listing Agent 
Commission Split 
Selling Agent 
Earnest Money 
Sales Price 
Current Owner’s Name & Address 
Current Owner's Phone Number 
Prior Title 
Buyer’s Name & Address 
Buyer's Phone Number 
Finance Company 
Loan Officer 
Loan Amount 
Title to be vested as 
**Reminder---Agents will need to provide Liberty Title & Abstract, Inc. with Buyer and Seller’s Social Security Numbers, as well as their forwarding address at the time of ordering to complete the Wisconsin Real Estate Transfer Return. ** 
 
Other Services Requested:

     Deed or Transfer
     Water Escrow/Meter Reading
     Water Letter 
     Closing Statements 
     Tax Receipt 
     Letter of Specials

Choose one of the following:

    I will fax a copy of the offer to Liberty Title as well as any prior for a discounted rate.
Fax: 877-240-1265

     I will email a copy of the offer to Liberty Title as well as any prior for a discounted rate.
Email:
mailto:kara@libertytitleandabstract.com
    I would like Liberty Title to pick up a copy of the offer from me as well as any prior for a discounted rate.

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