OWNERSHIP ENCUMBRANCE REQUEST

Date Requested
Client Information
*Client Name		*Telephone
*Company		*Fax
*Address		*Email Address
*City		*State	Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Flordia Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip

*Property Information
Owner's Name		*Property Address
Adams Arapahoe Boulder Broomfield Denver Douglas Jefferson Other
Lot/Unit		Block/Bldg
Subdivision		Section
Township		Range

Details
Title Assurance/Property Report	Name Search	Foreclosure
Delivery Method Email Fax	Format Verbal Only Written Faxed Copies	Turnaround Time Extreme Rush 2-4 Hours 4-6 Hours Within 24 Hours