TITLE EXAMINATION ORDER


Telephone your order to (860) 675-8489
or FAX this form to (860) 673-5480
or Email to: johnfentner@home.com


Date: ____________________ Time: _________________ Report Due: _________________

For: _____________________________________________ Attn: ______________________

Mailing Address:

_________________________________________

_________________________________________

Telephone: __________________ FAX: _____________________ EMail: _________________

If Overnight shipping desired: FedX or Postal Express Mail Account #: ____________________


Property Description

Address: _______________________________________________ Town: _________________

Unit No. & Community (PCs and Condos) ____________________________________________

Current Owner(s): _______________________________________________________________

Title Information: Vol & Page: ________________________ Legal Description Attached? Y / N

Additional Information: ___________________________________________________________


Nature of Proposed Transaction
(Please check one)

______ Purchase/Sale ______ Refinance ______ Litigation ______ Other

Title Insurance Policy will be issued: Y / N Company: ___________________________________

Type of Report: (Please check one)

Residential or Commercial Property (Specify): __________________________________________

______ Full Certificate of Title ______ Limited Certificate of Title (current owner only)

______ Title Research: (Please specify nature of information required): ___________________

______________________________________________________________________________


Copies Required (Please check as many as apply)

___X__ Legal Description ______ All Title Documents Concerning Current Owner(s)

______ Permanent Encumbrances Only ______ All Encumbrances Found of Record

________ Maps ______ Tax and Utility Bill(s)

Other: _______________________________

Copies will be billed on reimbursement basis (generally $1.00 per page). Note that in some towns which have only coin operated copiers (i. e. New Fairfield) or in which the Town Clerk will not accept personal checks (i. e. Woodbury) it may not be possible to obtain full sets of copies.

On Common Interest Communities (Condos and PCs) full copy sets of Declaration, Encumbrances and Maps will not be provided unless specifically ordered. There will be an additional charge based on an hourly rate of $50.00 for time involved in obtaining sets of CIC documentation. For large orders (over $50.00) a blank check payable to the Town Clerk must be provided with Search order.

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