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Runkel Abstract & Title Co.

522 Scott Street • PO Box 1303
Wausau, WI 54402-1303
(715) 845-4646
Fax (715) 845-6072 • Email: info@runkel.com

Select A Location: *

Ordering: *

Title Insurance	Written Checking Letter	Verbal
Abstract Continuation	New 30 Year Abstract

Need By Date * +

Closing Date +

Buyers

Sellers or Owners *

Address of Property:

Legal Description

Should we order a special assessment letter? *

Yes

No

Purchase Price or Owners Policy Amount

Mortgage Amount

Purpose of Loan

Purchase

Refinance

Construction

Prepare Closing Statements

Yes

No

If yes, please include copy of Offer to Purchase

Additional Attachments

Additional Attachments

Prepare Deed & Transfer

Yes

No

Commission Amount/Percent

Earnest Money

Home Warranty

Yes

No

If Yes, HW Company

Amount

GAP

YES

NO

Paid By

Is Runkel Abstract & Title doing the closing?

Yes

No

Is Runkel Abstract & Title preparing the closing statement?

Yes

No

Is Runkel Abstract & Title preparing the deed & transfer?

Yes

No

Deed Preparation Information

Buyer taking title as:

Husband & Wife (as Survivorship Marital Property)

Single

Tenants In-Common

Joint Tenants

Other

Buyer moving to premises

Yes

No

Homestead of Seller

Yes

No

Is Seller Related to Buyer

Yes

No

Is Seller Married

Yes

No

Primary Use

Residential

Commercial

Agriculture

Sale

Gift

Exchange

Other

Lender

Lender Contact / License No.

Is there an abstract to work from?

Yes

No

If so, will you surrender it?

Yes

No

Is there a prior policy to work from?

Yes

No

If yes, please attach prior policy

Additional Attachments

Additional Attachments

Type of property *

Residential

Commercial

Listing Agent / License No.

Listing Company

Selling Agent / License No.

Selling Company

Other Copies To:

Additional Information/Notes

Ordered By *

Branch

Phone *

E-mail *