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Commercial Order Form
Form updated on 2/12/2007

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Office Location: (Please Choose a office to process your order)

First Acceptance Title

11 North Mulberry Street
Suite 205
Mansfield, Ohio 44902
Phone: 419-525-1461
Fax: 419-522-2040
 

Order Information:

This Order is being placed by:

Bank / Institution:
First Name:
Last Name:  
Phone:  
Fax:
Email Address:

Order Details:

Sale
Refinance
Construction
Sale Amount:
Loan Amount:
Closing Date:

Seller's Information:

Business Name:

Seller's Attorney

Seller 1 Information:

First Name:
Last Name:
Married  Single

Seller 2 Information:

First Name:
Last Name:
Married  Single

 Seller's Comments:


Buyer's / Borrower's Information:

Business Name:

Buyer's Attorney:

Buyer 1 Information:

First Name:
Last Name:
Married  Single

Buyer 2 Information:

First Name:
Last Name:
Married  Single  

Buyer's Comments:


Property / Deed Information:

Property Address:

Street 1:
Street 2
City:
County:
State:
Zip:

Tax Address::

Street 1:
Street 2:
City:
County:
State:
Zip:
Legal Description:

Policy Type:

Owner's Policy Lender's Policy Leasehold Policy
Construction Policy Limited Abstract Judicial Report
Previous Title Policy Yes  No

Policy Endorsements:

Binder ALTA 9 Zoning
EPL Condo Usury
ARM Manufactured Home First Dollar
Survey P.U.D. Last Dollar
List Additional Comments / Endorsements:

Survey Requirements:

Location Print
Affidavit Prior to Commencement / Print
Metes & Bounds
ALTA

Other

Title Company to Prepare Deed Joint & Survivorship
Warranty Tenancy in Common
LTD Warranty Title Company to Close
Quit Claim  

Real Estate Agent Information:

Seller's Agent Phone:
Buyer's Agent Phone: