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Order Form

Company: Submitted By:
Address:
Brief Legal Description
(Lot # and Addition or Sec/Twp/Range)
Property Address:
Is prior title work (Abstract or Previous Title Policy) available? YesNo
(20% discount for previous policy or abstract with opinion in the last 10 years.)
Owner's Policy:
Sales Price

 Mortgage Policy:
Loan Amount
Present Owner(s):
Current Address:
Purchaser(s):
Current Address:
Bank/Mortgage Company:
Attention of:
Cass County Title to (Check any that apply)
Order Location Survey
Order Staked Survey
Order Deed		Do the Closing
Other
Notes:
Email Address:

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