American Search & Settlement Company

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Please provide AS MUCH information as possible to expedite order. Press tab or use your mouse to move between fields. Pressing enter will submit your order.

Contact Information:

Your Name:

Company Name:

Phone:

Email:

Fax:

Address:

 

Transaction Type

Refinance
 

Property Use

If other please specify:

 

Property Type

If other please specify:

 

Occupied By

 

Property Address:

City:

State:

Pennsylvania

Zip:

 

County:

Tax Parcel #:

 

Settlement Date:
(MM/DD/YY)

 

Buyer/Borrower Info.

Name:

Social Security #:
must be ###-##-#### format

Day Phone:
must be (###)###-#### format

Home Phone:
must be (###)###-#### format

Address:

City, State, Zip:

 

Name:

Social Security #:
must be ###-##-#### format:

Day Phone:
must be (###)###-#### format

 

Payoff Info:

Mortgage Co.:

Customer Service #:

Loan #:

 

Mortgage Co.:

Customer Service #:

Loan #:

 

Mortgage Co.:

Customer Service #:

Loan #:

 

Lender Info.

Contact Name:

Company Name:

Phone:
must be (###)###-#### format

Fax:
must be (###)###-#### format

Address for CPL:

City, State, Zip:

Loan Amount:

$

 

Borrower's Additional Contacts or Representatives:
Borrower's Attorney:

Name:

Company Name:

Phone:
must be (###)###-#### format

Fax:
must be (###)###-#### format

 

Mortgage Broker:

Name:

Company Name:

Phone:
must be (###)###-#### format

Fax:
must be (###)###-#### format

 

Other Information/Requests

    

Thank you for your business. Please call 215-348-9816 if you have any questions.

DO NOT PRESS SUBMIT UNTIL YOU HAVE CHECKED YOUR ORDER FOR ACCURACY! Thank you.

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