Please fill in as much information below and click "Submit" below to place your Order. Or if desired, print an Order Form and submit via fax at (608) 754-7070.
Required fields are in red.
GENERAL INFORMATION
Your Full Name:
Company Name:
Preferred Communication Method:
Email    Phone    Fax    Mail
(If Mail is selected, please fill in address below.)
Email:

Format: user@domain.com
Phone:
Fax:
Address:
City:
State:
Zip:
Date Needed:
Request Type:
Title Insurance
Letter Report
Closing Statement
Closing Services
Search and Hold
Other:
Loan Amount: $
2nd Loan Amount: $
Refinance Only?:
Yes
No
   
LENDER (LOAN) INFORMATION: (If Loan Policy or Refinance)
Lender:
Attn:
Phone:
Fax:
Email:
Endorsements Requested:
Closing Protection
Letter Requested?:
   
PROPERTY INFORMATION:
Property Address:
City:
County:
State:
  Wisconsin
Zip:
Type of Property:
Tax ID Number
(If Known):
Partial Legal:
Present Lender
(If Applicable):
Loan #:
   
BUYER (BORROWER) INFORMATION
Buyer (1) (Borrower):
Legal Name:
Marital Status:
Married
Unmarried
Phone:
Current Address:
City:
State:
Zip:
   
Buyer (2) (Borrower):
Legal Name2:
Marital Status:
Married
Unmarried
Phone:
Current Address:
City:
State:
Zip:
   
SELLER INFORMATION
Seller (1):  
Seller Legal Name:
Marital Status:
Married
Unmarried
Phone:
Current or New Address:
City:
State:
Zip:
   
Seller (2):  
Seller Legal Name2:
Marital Status:
Married
Unmarried
Phone:
Current or New Address:
City:
State:
Zip:
   
PURCHASE INFORMATION

If a Purchase:
Offer to purchase and prior title evidence must be provided as soon as possible

Sale Price: $
Earnest: $
Is Property Seller's Homestead?:
Yes
No
Will Property Be
Buyer's Homestead?:
Yes
No
 
 
Listing Agent:
Company:
Selling Agent:
Company:

Vogel Law Firm to
prepare deed unless
stated otherwise:

 
 
Estimated Closing Date:
Place of Closing:
Additional Information:
Please submit prior title work and the Offer To Purchase (if a sale)
to fax: 608.754.7070 or email to: OrdersRiverTitle.net