Dixon, Laukitis & Downing, P.C.
Real Estate and Closing Law Firm
"Handling All Aspects of the Real Estate Transaction"
711 Commerce Bank Building
Peoria, Illinois 61602
Ph: (309) 676-6113
Fx: (309) 676-6129

  

Online Request for Title Services

Request for Title Insurance Request for Deed Preparation
Request for Lien Search Request for Search Only
Other Request  

Date Ordered:
Date Needed:

From:(Company, Salesperson, phone#)

Sale Refinance New Construction Other

Additional Request Comments/Instructions

Prior Title Evidence:

Legal Description:

Street Address:

Tax ID: County:

Sellers' Marital Status:
Sellers' Address:
and Phone#

Buyer(s) Address:
and Phone #

How will the Buyer(s) hold title?

Individual Tenants in Common Joint Tenants Tenants by Entirety

Purchase Price:

New Mortgage Amount:
New Mortgage Company:
Address:
Representative Name:

Please check all that apply:

Prepare the following:

Purchase Contract WD
Quit Claim Deed Power of Attorney
Agreement for Deed Other:
Note: If we are to prepare the deed, please refer to the online deed request after you submit this form.
Send Originals To:
Send Copies To:

Please check all the above for accuracy and press to send this request immediately.