Please indicate type of order requested Preliminary Title Report Yes No Preliminary Title Report (Including Final Title Report) Yes No Bring Abstract to Date and Have Examined Yes No Bring Abstract to Date and Issue Commitment for Title Insurance Yes No Title Insurance (Loan Policy Only) Yes No Loan Amount Title Insurance (Loan Policy/Owner's Policy) Yes No Loan Amount Sales Price Ad Valorem Tax Search Only Yes No Please fill in information below Customer Name Branch Location OLTS Customer # Customer’s Internal # Contact Person Contact Person’s Phone Fax E-Mail Owner’s Name Borrower One’s Name Borrower Two’s Name Property Address County City State Zip Legal description of subject property for title report Special Instructions Submit
