Liberty Land Abstract, Brandywine Valley

ORDER FORM FOR TITLE SERVICES

** THIS ORDER FORM MUST BE ACCOMPANIED BY A COMPLETED AGREEMENT OF SALE (FAXED, EMAILED, OR HAND-DELIVERED) INCLUDING SIGNATURE PAGES. PROCESSING ON THIS ORDER WILL NOT BEGIN UNTIL AGREEMENT OF SALE HAS BEEN RECEIVED.**

Please fax the AOS to (610) 558-3398, or email it to orders@libertylandabstract.com

*All BOLD fields are required

CONTACT INFORMATION:

Market Center:

Buyer's Agent:

Buyer's Agent Email:

Broker's Service Fee:

Buyers' Agent Commisision Percentage:

Settlement Location:

Settlement Date:

- - example (03-24-2005)

PROPERTY INFORMATION:

Property Address:

Sales Price:

City:

State:

Zip:

County:

Seller Assist:

BUYER INFORMATION:

Buyer Name #1:

SS#:

Buyer Name #2 :

SS#:

Mailing Address:

Phone #:

( ) -

Cell #:

( ) -

Email:

Would you like the Buyer to have Web access to their file?

Yes

Lender:

Contact Name:

Lender Address:

Phone #:

( ) -

Email:

Fax #:

( ) -

Loan Amount:

SELLER INFORMATION:

Seller Name:

Seller's Agent Name:

Seller's Agent Phone #:

( ) -

Seller's Agent Email:

CONTACT INFORMATION:

PROPERTY INFORMATION:

BUYER INFORMATION:

SELLER INFORMATION:

NOTES: