America's Choice: residential and commercial title and escrow services, ranging from title searches to complex 1031 exchange transactions.


	Request for Title Search
	To request a title search be performed, please choose one of the following methods: Call your order in at 1-866-366-9234 (toll free). Fax your order in at 1-866-366-9235 (toll free). Click here for printable PDF order form. Use this on-line form:
	* These fields are required.
	Contact Information
	*Ordered By (Name) :**
	*Business Name :**
	Phone Number:
	Fax Number:

	Refinance Purchase Land Contract
	Loan Amount:
	Proposed Lender:

	*Subject Property :**
	*County :**

	Borrower Information
	*Borrower :**
	Borrower SSN:
	Co-Borrower:
	Co-Borrower SSN:
	Marital Status: Married Single
	Current Address:
	Home Phone:
	Work Phone:

Seller Information
Seller:
Seller SSN:
Address:
Home Phone:
Work Phone:

Realtor Information
Listing Agent Co.:
Realtor
Address:
Phone:
Fax:
Selling Agent Co.:
Realtor
Address:
Phone:
Fax:

Would you like America's Choice Title to obtain the following?
Payoffs:	Yes No
Survey:	Yes No
Existing Liens:
1.
2.

Comments:

Seller Information
Seller:
Seller SSN:
Address:
Home Phone:
Work Phone:

Would you like America's Choice Title to obtain the following?
Payoffs:	Yes No
Survey:	Yes No
Existing Liens:
1.
2.

Comments: