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Order Form
Today's Date:
Needed by:
Closing Date:
Time:
Your Email: (if you would like a copy of the results of this form for your records)
$ Owner's Policy (Sales Price)
$ Mortgage Policy
$ Jr. Mortgage Policy
Letter Report With Extension?
Search & Hold
 
Present Owner/Seller:
SSN #1
SSN #2
One or more of the Sellers deceased or divorced
Buyer:
SSN #1
SSN #2
Property Address/Legal:
Tax Key(s) #
Will this be New Construction Yes No
If yes – General Contractor:
Send Copies of the Title Commitment To:
Applicant and/or
Listing Broker:
# of copies:
Phone:
Fax or Email:
Selling Broker:
# of copies:
Phone:
Fax or Email:
Lender:
Phone:
Fax or Email:
Attorney(s):
(for Seller)
Phone:
Fax or Email:
Attorney(s):
(for Buyer)
Phone:
Fax or Email:
Other:
Phone:
Fax or Email:
Please obtain the following:
Special Assessment Letter
Association Letter
Sanitary District Letter
Closing Services Requested?
(Closing Statement, Deed & Transfer prep.)
Yes - Continue filling out form below...
No,
Closing Services Form
Please obtain the following:
Closing Statement
Deed, Transfer & Owner's Affidavit
Property Address:
Seller's New Address:
Buyer's Current Address:
If we are preparing Closing Statement, please complete this section
Earnest Money $
Earnest money was retained by Seller/Broker
Tax Proration:
Based on 100% of previous year's taxes
Based on % of previous year's taxes
Other, please state
Commission:
$ or %
Amount or percentage to Listing Broker:
Amount or percentage to Selling Broker:
Association Dues? Yes
  No
If yes, please enter contact information for association:
Name:
Phone:
Mortgage Payoff(s)? Yes
  No
If yes, please enter the following information:
Name:
Account No:
Final water bill on Closing Statement
(if checked, please provide us with a verbal amount prior to closing and the final bill at closing.)
Please list any other charges to be shown on the Closing Statement
(Survey, septic inspection, rents, repairs, etc.):
Please submit legible copies to SEWT of any bills that must be paid at closing.
If we are ordering the deed & transfer, please complete this section
Is the property the Seller's Homestead? Yes No
Seller is: Married
  Single
  Other (Corp., Inc. Trustee, etc.)
How Does the Buyer(s) want to take title?
Is there any relation between Buyer & Seller? Yes No
Is the Property...
Land (Lot Size x or acres)
Land and Buildings
Other
Does the Seller Retain any Rights? Yes No
Is DILHR Required? Yes No (exemption code)
Primary Use: Residence
  Single Family
  Multi-Family
  Time Share
  Commercial
  Manufacturing
  Agricultural



THANK YOU FOR YOUR ORDER!!

IF YOU HAVE ANY QUESTIONS OR CHANGES,
PLEASE CONTACT US AT Ph. (262) 723.5566 or FAX (262) 723.2614

 

Southeastern Wisconsin Title Co., LLC
1020 N. Wisconsin Street, Elkhorn, Wisconsin 53121
751 Geneva Parkway, P.O. Box 460, Lake Geneva, WI 53147
Phone 262.723.5566 - Main Fax 262.723.2614 - Construction Fax 262.723.5919
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