Order

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Please enter the following information to place your search/title policy order with Keweenaw Title Agency. Attachments, such as Purchase Agreements (if applicable), can be e-mailed to kta@kewtitle.com or faxed to 906-482-5570. Please call us if you have any questions 906-482-9570.

Select all that apply. Thank you for your order!

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YOUR NAME (AND COMPANY)

 

Your address

 

Your phone, facsimile

 

EMAIL ADDRESS

 

Date needed by

 

THIS IS AN APPLICATION FOR

 

Information about property to be insured/searched

CURRENT OWNER

 

Property Address

 

Property is in a

 

Provide name of City, Village or Township

 

Property identification number

 

Legal Description

 

If owner’s policy, provide...

Policy Amount

 

Seller name

 

Seller address

 

Buyer name

 

Buyer address

 

If mortgage policy, provide...

Borrower Name or Names

 

Borrower(s) address

 

Mortgage Amount

 

Lender (exact name to be insured)

 

IS THIS A CONSTRUCTION POLICY?

 

Other Information

Would you like us to handle the closing?

 

Would you like us to order the deed?

 

If you would like us to order the deed, do you have a preferred attorney?

 

Please provide the name of your preferred attorney

 

How will buyers take title? Choose One

 

List any other parties involved with the transaction

 

Does the Buyer and/or Seller own a business?

 

If yes, please provide business name(s)

 

Who should receive copies?

 

Special Instructions

 
 

RETYPE CODE

 

 
 
 
 

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