Home Title Insurance Closing Escrow Contacts

Fax Order Form

Please complete the following form for title insurance commitments.  When you are finished, click 'Done' to go to display a printable version.  Fax the completed form to us at 308 382 7782.


Sellers  

Buyers  

Address  

City     State     ZIP  

Loan Amount     Sale Price  

Loan Company          Type  

To Be Assigned   Yes No                    In House   Yes No

Endorsements :   EPA  Yes No               COMP  Yes No

Other Endorsements  

Legal Description

Realtor  

Buyer's Attorney  

Seller's Attorney  

Survey   Yes No                                 Plot Plan   Yes No

Special Instructions  

Ordered By      Date  

  


Bonded Abstracter
Hal A Schager - Eileen F Harms
Member of Nebraska Land Title Association
Fax 308 382 7782
704 W 3rd Street | PO Box 627 | Telephone 308 382 4651
GRAND ISLAND, NEBRASKA  68802