Atlas Title Services - Title Service Order Form

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Atlas Title Services
116 West Main Street Clinton, NJ
Phone: (908)713-1002
Fax: (908)713-1008

Check all appropriate boxes, and complete the information contained on this form. Click the 'Submit' button on the bottom of the page to have the information electronically submitted. Once your order is received we will promptly begin to process your order. We will contact you when your order is received.

Please indicate which items you would like contained in your Title Package. If your needs are not completely met by the items that are contained on this form, please contact us and we will custom-build an order for you.

Title Search, Commitment and Policy Patriot Search State UCC Search
Upper Court Judgment Search (NJ Superior and Supreme Court Search) Survey
Tax and Assessment Search Flood Hazard Search Life of Loan Flood Search
Corporate Status/Franchise Tax Report

     New Deed Required? Yes No
     If you answered Yes, Please Explain:

Date of Request: *Applicant:
Company
(if applicable):		 Branch
Street Address: City:
State: Zip:
*Telephone: Fax:
Email Address:
 
Property Description:
 
Street Address: County:
City: Block:
Lot:  
Survey to follow: YES NO Back Title to follow: YES NO
Present Property Owner(s):
Marital Status: Married Unmarried
Purchaser(s):
Marital Status: Married Unmarried
Purchase Price: Borrower's Attorney:
Mortgage Amount: New Lender:
Special Language:
Street Address: City:
State: Zip:
Tentative Closing Date: Seller's Attorney: