For your convenience, here is a form which will help you order title work on your property.
You may attach any of the following documents to this form:

  • Legal Description of the Property
  • Prior Title Work
  • or any Additional Information which you need to send to us
If you prefer, you may fax the additional information to 816.380.3892.
*denotes required fields
*Company:
*Email Address:
*Address:
*City:
*State: Zip:
*Phone: Fax:
 Upload Contract:
Choose One:  
  Lender
Refinance | Construction | Second Mortgage | HELOC
Resale
Home Sales
Other
Foreclosure | Search Only | Zoning | Other
   


 Enter the Legal Description in the box or in the fields below.
*denotes required fields
or  
*Address:
*City:
*State: Zip:

Please fill in the fields below.

 Please use the form below for the Owner of Record or Borrower:
First Name:
Last Name:
Secondary Owner:
Last Name:
Company:
Email Address:
Address:
City:
State: Zip:
Phone:    
Social Security #:
 

 Please use the form below for the Loan Officer:
First Name:
Last Name:
Lending Company
Email Address:
Address:
City:
State: Zip:
Phone: Fax:
 

 Please use the form below for Loan Information:
Sales Price:
Closing Location:
Closer:
       
Loan Amount:
Closing Date:
       
Is prior title work available? Yes, see attached
  Yes, faxing separately to 816-380-3892
  No
Upload Title Work:

Please fill in the fields below.

 Please use the form below for the Owner of Record or Borrower:
First Name:
Last Name:
Secondary Owner:
Last Name:
Company:
Email Address:
Address:
City:
State: Zip:
Phone:    
Social Security #:
 

 Please use the form below for the Buyer:
First Name:    Same as Owner?
Last Name:
Company:
Email Address:
Address:
City:
State: Zip:
Phone:    
Social Security #:
 

 Please use the form below for the Loan Officer:
First Name:
Last Name:
Lending Company:
Email Address:
Address:
City:
State: Zip:
Phone: Fax:
 

 Please use the form below for Loan Information:
Sales Price:
Closing Location:
Closer:
       
Loan Amount:
Closing Date:
       
Is prior title work available? Yes, see attached
  Yes, faxing separately to 816-380-3892
  No
Upload Title Work:
 

 Please use the form below for the Listing Agent:
First Name:
Last Name:
Lending Company:
Email Address:
Address:
City:
State: Zip:
Phone: Fax:
 

 Please uset the form below for the Selling Agent:
First Name:
Last Name:
Lending Company:
E-mail Address:
Address:
City:
State: Zip:
Phone: Fax:
 

Please fill in the fields below.

 Please use the form below for the Owner of Record or Borrower:
First Name
Last Name
Email Address:
Address:
City:
State: Zip:
Phone:    
Social Security #:
 
 







Thank you for your information.
Your report has been sent. A representative from Coffelt Land Title will be in touch with you soon.

...

 

First Name
~~~~
Last Name
~~~~
Email Address:
~~~~
Address:
~~~~
City:
~~~~
State:
~~
Zip:
~~~~
Phone:
~~~-~~~-~~~~
   
Social Security #
~~~-~~-~~~~

Payment Options:
$150 Title Search
$150 Foreclosure Search
Commercial Search (we will contact you with a quote)
Multiple Parcel Search (we will contact you with a quote)

  Billing Address:
*First Name:
*Last Name:
Email Address:
*Address:
*City:
*State:  Zip:
   
  Credit Card Information:
Card Number:
CSC: 
Expiration Date:

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