Title Order Request

If you have any questions while filling out the order form please call (719) 587-2776

Date
Ordered by		Closing Date on Contract:
Type of Closing:
Not a Mail-out - Mail-out to Seller - Mail-out to buyer
Address of Property:
Legal Discription of Property:

Do you have a contract: Yes - No

Cash Deal - Loan / Lender - Seller Financing
Sales Amount:
Seller
First Name:		Last Name:
Home Phone:		Work Phone:
Cell Phone :		Fax:
Social Security # :		P.O. Box :
Physical Address :		City:
State:		Zip Code:
Email:

Buyer
First Name:		Last Name:
Home Phone:		Work Phone:
Cell Phone :		Fax:
Social Security # :		P.O. Box :
Physical Address :		City:
State:		Zip Code:
Email:

Water Information
Does this property have any water rights? Yes / if yes please fill out information below No
Does the property have a well:	Yes No	Is the well permited:	Yes No
Do you or the seller have any of the water documents:	Yes No	Well Permit #:
Does the property have any Water Stock Certificates:	Yes No	Who currently has the Water Stock Certificates:

Additional Information regarding this transaction:

Seller