Online Order Form for Owner's Policy
NOTE: Move back and forth between fields using the Tab or (Shift)Tab keys.
Press ENTER key or click on "Place the Order" button to send information.
Customer Details
Person Placing Order
E-Mail
Company Name
Street Address
City, State, Zip
Phone Number
Fax Number
Seller Details
Seller Name (1)
SSN:
Seller Name (2)
SSN:
Seller Status
Husband and Wife
Single/Unmarried
Corporation
Trustees
Limited Liability Company
Partnership
Other
Address
City, State, Zip
Buyer Details
Buyer Name (1)
SSN:
Buyer Name (2)
SSN:
Buyer Status
Husband and Wife
Single/Unmarried
Corporation
Trustees
Limited Liability Company
Partnership
Other
Address
City, State, Zip
Property Details
(Please include as much information as possible)
Brief Legal Description of Property to be Insured:
Property Address:
Current Owner:
Comments:
Transaction Details
Sales Price:
Transaction Type:
Cash Sale
Lender Financing
Seller Financing / R.E.C.
Other
Lender Name (If Applicable):
Transaction Closing at New Mexico Land & Title?
Yes:
No:
Closing Date:
© 2005,
New Mexico Land & Title Co.
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