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Classic Title - Bedford, Indiana
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Please fill out the following order form and click the Submit Form button to email the form to Classic Title. You may also print and fax the completed form to (812) 323-2786 or email Classic.Title@comcast.net
Company:Contact:
Address:Phone:
C/S/Zip:Fax:
Email:

PROPERTY:
Address:County:
CityStZip
Parcel No:

BORROWER(S):
Last NameFirst NameMiddle
SS#:
Last NameFirst NameMiddle
SS#:

SELLER(S):
Last NameFirst NameMiddle
SS#:
Last NameFirst NameMiddle
SS#:

LENDER: 
LOAN AMOUNT:PURCHASE PRICE:
LOAN PAYOFF INFORMATION:
First Mortgage:Account #:
Second Mortgage:Account #:

COMMENTS:
Please attach a copy of the offer to purchase and if available any listing sheets, prior title policies, or additional information that will help expedite your order reqest.