Title Report Only (No Insurance)
  1. Customer

  2. Name(*)
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  3. Company
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  4. Street Address(*)
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  5. City(*)
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  6. State(*)
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  7. Zip Code(*)
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  8. Email Address(*)
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  9. Confirm Email Address(*)
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  10. Phone(*)
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  11. Fax
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  12. Bill to
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  13. Backman Title Services Contact

  14. Closer or Marketing Rep Name
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  15. Branch Name






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  16. New Order & Property Information

  17. Property Owner
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  18. Street Address(*)
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  19. City(*)
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  20. State(*)
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  21. Zip(*)
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  22. County
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  23. Tax ID
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  24. Notes or Comments
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  25. Thank you for requesting title insurance and escrow services with Backman Title Services. By properly filling out the required information we can begin to work on this property. Members of our staff will be contacting you to acknowledge receipt of your order. We will need to know more details about this transaction including further information about the trustor, trust deed information, amounts, insurance requirements, and more.

    Be aware that receipt of an order from our website does not constitute a promise to issue title insurance.

  26. Upload your New Order documents here (REPC, Title Request and Property Information)
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    .doc, docx, or .pdf file
  27. Type these letters(*)
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