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(833) 378-4853
[email protected]
105 E Ridge Ln Suite #2, Somerset, KY 42501

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Serving all of Kentucky · Offices in Somerset, Lexington, Danville and Richmond

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Title Order Request Form

PHONE: 1-833-378-4853
EMAIL: [email protected]

BUYER / OWNER

Buyer

Owner

NAME

PROPERTY ADDRESS

COUNTY

LOT NUMBER(S)

SUBDIVISION NAME

DEED BOOK/PAGE

*ATTACH COPIES OF ALL DEEDS

IF NEW PURCHASE, PURCHASE PRICE ($)

THIS TRANSACTION WILL BE:

CASH PURCHASE

PURCHASE WITH MORTGAGE

REFI

LENDER

AMT OF MORTGAGE ($)

POLICIES REQUIRED:

OWNER'S POLICY

ENDORSEMENTS

LENDER'S POLICY

FIVE STAR TO PREPARE DEED?

Yes

No

TAXES PRORATED?

Yes

No

POSSESSION WITH DEED?

Yes

No

IF NOT, WHEN?

FIVE STAR TO PREPARE MORTGAGE?

Yes

No

IF YES, TYPE

FORM TO USE

UCC SEARCH REQUIRED?

Yes

No

FIVE STAR TO CLOSE?

Yes

No

BUYER INFORMATION

FULL NAME OF BUYER

MARITAL STATUS

FULL NAME OF SPOUSE (IF ANY)

CURRENT MAILING ADDRESS

DEED/TAX BILL MAILING ADDRESS

HOW IS PROPERTY TO BE TITLED? (JTROS, BUYER ONLY, ETC)

*If more than one buyer, please list additional buyer information on a second sheet

SELLER INFORMATION

FULL NAME OF SELLER

MARITAL STATUS

FULL NAME OF SPOUSE (IF ANY)

MAILING ADDRESS

IF THE PRESENT OWNER IS NOT THE PARTY LISTED ON THE SOURCE DEED (DIVORCE, DEATH, ETC), PLEASE EXPLAIN

*IF MORE THAN ONE SELLER, PLEASE LIST ADDITIONAL SELLER INFORMATION ON A SECOND SHEET

TITLE SEARCH REQUESTED BY

REQUESTER'S EMAIL

PLEASE RETURN TO

PHONE NUMBER

MUST HAVE BY

*PLEASE ALLOW 4-5 WORKING DAYS

Please email a copy of the DEED and PURCHASE CONTRACT with all requests to: [email protected]

Thank you for your business!!!

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About Us

Five Star Land Title is the state of Kentucky’s premier Title Company, offering a variety of Title and Closing services to meet your needs.

We have offices in Somerset, Lexington, Danville and Richmond to better serve you!

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