Web Order Entry

To send an order, please fill out the form below.
Processing will begin promptly.
Please contact us with any questions at (586) 751-4500. Thank you.

*Purchase Agreement required to process a sales transaction*
Please Fax to (586)751-4501 or email to snicholas@abstracttitleagency.com

Transaction Type:
  Contact Information  
Company Name: Example: Main Street Bank
Processor/Contact Name: Example: Jane Smith
Email Address: Example: Jsmith@mainstreetbank.com
Phone No.:  (###)###-#### Example: (555) 555-1212
Fax No.:  (###)###-#### Example: (555) 555-2222
Address: Example: 1024 Elm Street
City, State, Zip Example: Royal Oak, MI 48073
  Property Information  
Property Address: Example: 1024 Elm Street
City: Example: Warren
State: Example: MI
Zip: Example: 48093
County: Example: Macomb
  Buyer/Borrower Information  
Buyer/Borrower(s): Example: John Q. Smith
SS#: Example: 333-33-3333
Buyer/Borrower(s): Example: Sally R. Smith
SS#: Example: 333-33-3333
  Loan Information  
Loan Amount: Example: 195000.00
Lender Name(s): Example: Bank of USA
Street Address: Example: 123 Main Street
City, State, Zip Example: Raleigh, NC 27609
Loan Number: Example: 15088572
Loan Officer: Example: James C. Jones
Processor: Example: Mary Smith
  Seller Information  
Seller(s): Example: Christopher K. Public
SS#: Example: 333-33-3333
Seller(s): Example: Jennifer Public
SS#: Example: 333-33-3333
  Sales Information  
Contract Sales Price: Example: 195000.00
Earnest Money: Example: 5000.00
Held/Received By:
Total Commission Rate %: Example: 6
Listing Agent Company Name: Example: Remax
Phone:  (###)###-#### Example: (586)555-1234
Selling Agent Company Name: Example: United Realty
Phone:  (###)###-#### Example: (248)555-4321
  Order Notes  

Please include your email address below.
*Title documents will be sent to all Email addresses provided
*
You should receive a confirmation email shortly

after you submit this form
Your Email Address:  
Additional Email Address:  
Additional Email Address:  
Additional Email Address:


We will be unable to provide a CLOSING PROTECTION LETTER with the completed commitment unless the lender information and Loan # are filled in completely on this form.