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  Land Title & Abstract, Inc.
247 W. Cedar Ave.
Gladwin, Michigan 48624
(989) 426-0011
phone (989) 426-7141 local fax

Use our new TOLL FREE FAX line at (866) 426-7141

Land Title & Abstract, Inc.
247 W. Cedar Ave.
Gladwin, Michigan 48624
(989) 426-0011       fax (966) 426-7141
toll free

"Researching the Past for a Secure Future"

Online Application Form

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(The date and time will be automatically entered in the order when sent)

I am ordering

Sale Options

Sale Purchase Price

Mortgage Options

Loan Amount

With or Without Exceptions

With  Without


Purchaser Information

Name:        (if other)

Address:

City:                      State:             Zip:           


Present Owner

Name:        (if other)

Address:

City:                     State:              Zip:           


Lender Information

Name of Lender:                     Loan Officer:

Address:                     Phone:

City: ST: Zip:     Fax:

 

Name of Insured (if different from above)

 


Property Information

 

County of:    *required

Property Street Address OR Legal Description *required

Tax Parcel Code   

 


Realtor Information: (if applicable)

Listing Agent's Name:             Listing Company:

Listing Agent's Phone:             Listing Agent's Fax:

Selling Agent's Name:             Selling Company:

Selling Agent's Phone:             Selling Agent's Fax:


Payment Information:

Charge:   


 

Please provide YOUR contact information:

Name

Institution

Work Phone

FAX

E-mail

Comments


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Contact Information

Please feel free to contact us at the following location:

Telephone
CompanyPhone
FAX
CompanyFAX
Postal address
CompanyAddress
Electronic mail
Patricia Wendell: OwnerEmail
General Information: CompanyEmail
Webmaster: CompanyWebmaster
Copyright © 2002[Land Title & Abstract]. All rights reserved.
Revised: 05/15/07