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Type of Transaction?

Sale Price (if applicable):  
Loan Amount (if applicable): 

Is any previous title work available:  yes   no
If yes.  For possible re-issue credits please forward a copy of any other prior title insurance policies.

County of Property?     Miami   Wabash   Other: 

Enter a Brief Legal Description Below:

 

Property Address:

Street 
City    State  ZIP 

Seller/Owner Info:

Name 
Is Seller's Address same as property Yes No
Street    
City        State    Zip  

Buyer Info:

Name    
Address 
City     State  Zip 

Lender (if any):

Loan Officer 
Lender       
Telephone     FAX  Fax to Lender Yes No
Approx. Closing Date: 

If Wabash Valley Abstract Co., Inc.
is to close this transaction please complete the following:
Sellers Existing Mortgage Information:
Name:         
Phone Nbr:    
Account Nbr:  

Please list any additional mortgages in the box below.  
Please include Lender Name, Phone Number and Account Number: 
Please download & complete the Payoff Authorization form located on 
the Forms Page. We will need this signed authorization from the 
seller to obtain their payoff.

Survey (if any):
You Have Ordered A Survey From: 

Deed (if any):
Are we to have deed prepared? Yes  No 
Deed is to be prepared by:

Listing Broker:    Selling Broker: 
Commission:      %      Split: (L) /(S)

Please list any other required insp. in the comments section at the end of this form!

Ordered By:

Name       Tel      
Email    
Company    FAX      
Address1   Please Fax Commitment to me Yes No
Address2 
City        State    Zip  

Comments:

When you click on the "Submit" button below the information you filled out on this form will be emailed to Wabash Valley Abstract Co., Inc.  wvaco@comcast.net  

 

 

  

Phone: 765-472-4351   Fax: 765-472-4352

2 N. Broadway, Suite 203, Peru, IN 46970