Date - Hugo Abstract & Title

Date:
Company/Person Placing Order
Name
Phone
Address
Fax
City/State/Zip
Email
Buyer(s)
Real Estate Agent
Phone
Phone
Seller(s)
Lender
Phone
Loan Amount
Property Address
Legal Description (exhibit may be attached/emailed if there is insufficient space for legal)
Authorization: Hugo Abstract & Title, LLC is authorized to request and accept delivery of the abstract(s) covering the above-described property.
Closing
Complete Abstract
Supplemental
Extension
Final Abstracting
Other (Specify)
Abstract From Date
Surface Rights Only
Surface and Minerals
Title Search
Final Title Report
UCC Certification
Tax Certification
Special Certificate
Title Insurance
Owner's
Lender's
Mobile Home
Yes
No
Anticipated Closing Date
Payment Agreement
I agree the above legal description and all other information provided is correct. I understand my order date is the date I provide all of the correct information, including
legal description, to the title company.
I, the undersigned, hereby guarantee payment to Antlers Abstract & Title, LLC for the charges accrued within sixty (60) days from the date work is completed or within 24
hours of closing/funding, whichever is sooner.
Seller/Owner Signature
and/or
Signature of other Responsible Party
Printed Name
Printed Name
Billing Address
Billing Address