Washburn County Abstract
Order Form
407 N. Front Street
Spooner, WI 54801
715-635-7383 Fax: 715-635-7572
toll free 888/635-2081
Selling Agent
Co.
Phone:
Fax:
Cell:
email:
Listing Agent
Co .
Phone:
Fax:
Cell:
email:
Closing Date
Place
Will seller be present Yes  No
Time
Will buyer be present  Yes  No
Sales Price
To be transferred to WCA  Yes  No
Earnest Money
Commission to Realtor
%=
Title Policy  Yes (please send separate title order)  Attached  No
Is there a previous policy  Yes (please attach to title order)  No
Abstract Update  Yes  No  Surrender
Has abstract been sent to title company  Yes  No If not, please attach
Paid by
 Buyer  Seller  Split (How?)
For opinion send to
Fire Number and/or Street Address of Property (required)
(Or abutting road if vacant property)
City, State, Zip
Brief legal description
Vacant Land 
Land with Buildings 
Commercial  Yes  No
Is this a manufactured home? 
Trailer home? 
Estimated Lot Size
or Total Acres
Amount of Water Frontage
Closing Fee Paid by Seller or Deducted from Broker’s Commission
Parcel Split  Yes  No
Seller(s):
Last Name
First
Mid Initial
First
Mid Initial
SS#
Last Name
SS#
Current address:
After sale for 1099-S Form
Current phone number Res:
Email Address:
Work:
Specify whose number this is
Specify whose email this is
Seller’s primary residence (homestead)  Yes  No
Married: (__)
Does the Current Owner Pay Association Dues  Yes  No
Single ( _)
Taxes?  Yes  No
If Association Dues/Taxes apply provide Association Name/Contact Name/Address/Phone:
Name:
Address:
Phone:
Existing mortgage with
Phone number
Will an attorney be representing them
Is attorney drafting any documents
Are fees to be paid directly by seller
(Complete authorization form)
Loan number
 Yes  No
 Yes  No
 Yes  No
Paid at closing
Explain
Attorney
Phone
 Yes  No
Buyer(s):
Last Name
First_
Mid Initial
First_
Mid Initial
SS#
Last Name
SS#
Current address:
After sale address:
Current phone number Res:
Email Address:
Work:
Specify whose number this is
Specify whose email this is
Will this be the buyer’s primary residence
Yes  No
Will an attorney be representing them
Is attorney drafting any documents
Are fees to be paid directly by buyer
 Yes  No
 Yes  No
 Yes  No
2nd Home 
Paid at closing  Yes  No
Explain
Attorney
Rental 
Phone
Deed 
Land Contract  (Please attach land contract terms)
Ordered by Closing Agent  Yes  No
Paid by
 Buyer  Seller  Split (How?)
Preference of Deed/LC preparation  Yes: Atty
 No
Special instructions
Is closing agent ordering deed to satisfy an existing land contract on property?  Yes  No
Vendors address and telephone number
How are the buyer(s) taking title to property?
Last Name
First
Mid Initial
Last Name
First
Mid Initial
Tenants in Common
Husband and Wife as Survivorship Marital Property (WI residents)
Joint Tenants
Husband and Wife as Joint Tenants (Non-WI residents only)
A single person
Other specify
Trust
Are buyer and seller related?  Yes  No
Buyer Financing
Cash 
Bank Financing 
Land Contract 
Bank
Loan officer
Phone number
email
Mortgage amount
Fax
2011 Taxes to be prorated
 Yes  No
Are any escrows needed
 Yes  No
$
Explain
(Title company will not be responsible for drafting escrow agreements)
Fuel Proration
Fuel prorations will be taken care of directly between buyer, seller and broker at
closing. If special conditions, please let us know.
REQUEST FOR MORTGAGE PAYOFF
(Financial institution)
Phone:
Fax
Please issue a payoff statement with daily accrual noted to Washburn County
Abstract Co. for the following account:
Customer Name(s):
Social Security Number(s):
Property Address:
Account Number:
Payoff Date:
Please forward this payoff statement to Washburn County Abstract Co. Attn: Jim, via facsimile at
(715)635-7572. Please include the daily per diem and the overnight mailing address to mail funds
to.
If this is an equity line of credit mortgage, please freeze and close out the line of credit. You must
contact us with any an all increases as they occur. Please advise by telephone immediately and
follow up with written confirmation.
Please be advised that, pursuant to applicable law, we will rely upon your written
demand/letter/statement to establish the amount necessary to pay the obligation in full, and as your
commitment to deliver a full reconveyance/release and/or satisfaction.
My signature on this document serves as authorization. I am aware that the lender may also charge
a fax or payoff fee to provide the payoff. If you have any questions, please call Jim at (715) 6356630 ext. 27.
(customer signature)