Preferred Title of La Crosse, Inc.
 9542 Hwy. 16 E. Frontage Rd.
Onalaska, WI 54650
Fax: (608) 779-2103

Prefered Title Order Form

From:* Date Ordered:
Company:* Date Wanted:* mm/dd/yyyy
Address: Closing Date: mm/dd/yyyy
City: State: Zip:
Phone: Remarks:
Fax:
Email:*
Type of Order (Mark One*)
Sale (Mark all that apply) Refinance Other (Please Explain)
   With Lender Letter Report
   FSBO Jr Policy
   Cash
Sales Price Loan Amount
Owner:
            First M.I. Last
Husband and Wife Single Other (specify)
Secondary Owner:
            First M.I. Last
Husband and Wife Single Other (specify)
Buyer:
            First M.I. Last
Husband and Wife Single Other (specify)
Secondary Buyer:
            First M.I. Last
Husband and Wife Single Other (specify)
Lender:
Loan Officer:
Property Address:*
Legal Description:
Land Use:*
Residential Comm./Ind. Vacant New Construction
Prior Title Insurance: * Yes   No
If yes, fax to 608-779-2103 or upload file:
Listing Broker:
Agent Name:
Selling Broker:
Agent Name:
Attorney:
Other Services Required: *
Deed & Transfer Construction Draw Packet
Location Report Other (specify)
None
Additional Information:

Home | About Title Insurance | Services We Offer | Glossary Of Real Estate Terms
Schedule A Closing | Place An Order | About Us | Contact Us

©Copyright , Preferred Title of La Crosse
Web page design and hosting by Onalaska Web