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Batty Title & Escrow Services

Order Form

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Property Address:
Montgomery:
Macoupin:
PIN:
Sale Price:
Property Type:
Buyer Name:
Buyer Address:
Buyer Name 2:
Buyer Address 2:
Buyer Marital Status:
Buyer Phone:
Buyer's Lender:
Lender Contact:
Lender Phone:
Lender Fax:
Buyer's Loan Amount :
Buyer's Agent:
Buyer's Agent Phone:
Buyer's Agent Home Phone:
Buye'rs Agent Cell Phone:
Owner's Name:
Owner's Address:
Owner's Name 2:
Owner's Address 2:
Owner's Marital Status:
Owner's Soc Sec:
Deaths:
Divorce:
Deceased Name:
Lenders Phone:
Lenders Fax:
Owner's Listing Agent:
Owner's Agent Contact Info:
Owner's Agents Phone:
Owner's Agents Home Phone:
Owner's Agents Cell Phone:
Special Instructions:


423 N. State St. , Litchfield, IL 62056
Tel: 217.324.2322 / Fax: 217.324.9397


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