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
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