MORTGAGE AND CONVEYANCE CERTIFICATE ORDER FORM

This Order is From:

Company Name:

* required

Requested by:

* required

Email Address:

* required

Client File Number:

SAI File Number:

[it is not necessary to complete address information if you are an existing client]

Address:

City:

State:

Zip Code:

Telephone:

Fax:

Charge to:

[if different from above]

Deliver to:

Same as above:

Yes
No

[it is not necessary to complete delivery information if identical to company information]

Name:

Company:

Address:

City:

State:

Zip Code:

Method of delivery:

Hand delivery
Mail
Fax Only
Overnight

[if Overnight, enter name of overnight service and account #:]

Property Information:

Present Owner:

Municipal Address:

City/Town:

Subdivision:

Square and Lot:

Misc:

Research Requested:
(you may select more than one)

1) Conveyance and Mortgage Certificates

2) Conveyance Certificate (Only)

3) Mortgage Certificate (Only)

4) Chattel Mortgage Certificate

5) General Mortgage Certificate

6) Accounts Receivable

7) UCC Search - provide Tax ID if possible:

8) Tax Package (tax research and tax sale, paving, sewerage, and water)

9) Tax Research (comprehensive four year property tax research)

10) Tax Sale and Paving, Sewerage, and Water

11) Tax Sale Only

12) Paving, Sewerage, and Water Lien only

13) Tax Info (current year only)

Note: City tax researches must be ordered directly from the municipality in which the property is located.  We are unable to order city tax researches on behalf of our clients.  

Names Requested: (names run exactly as provided - no variations)

Acquired:

COB/folio:

Run to:

Acquired:

COB/folio:

Run to:

To Acquire Names:

Comments and Special Instructions: