HTA Order Form
Please Wait...
|
|
|
To place an order for title services, please complete the following form and select "submit." The fields marked with an "*" are required fields. After your order has been received, you will receive a confirmation email at the address you provide below.
|
|
|
|
Contact Information |
|
*Company Name:
|
|
|
|
*Phone:
|
|
|
|
*Person Placing Order:
|
|
|
|
*Email:
|
|
|
|
|
|
Property Details |
|
*Owner's Name:
|
|
|
|
*Property Address:
|
|
|
|
Parcel Number:
|
|
|
|
*County:
|
|
|
|
Brief description of Property (acreage, lot, etc):
|
|
|
|
|
|
Transaction Type |
|
Choose Transaction Type:
|
|
|
|
|
|
Services Requested |
|
Choose Services Requested:
|
|
|
|
*If checked, state Amount of Loan Policy:
|
|
|
|
Do you have a Prior Loan Policy?:
|
|
|
|
**If checked, state Amount of Owners Policy:
|
|
|
|
Do you have a Prior Owners Policy?:
|
|
|
|
Other - Explain:
|
|
|
|
Other Instructions:
|
|
|
Heartland Title Agency, LLC. ("HTA") is a title agency that is in the business of providing real estate, escrow and closing services ("Title Services"). HTA can not, and does not, provide legal advice or services. Accordingly, submission of an order for Title Services does not create, and receipt of the order by HTA does not constitute an attorney-client relationship between you and HTA, or the attorneys of Critchfield, Critchfield & Johnston, Ltd.
|
| |
|
|
|
| |
|
|
| |
|
|