Countywide Abstract
104 South Church Street
West Chester, PA 19382
Phone: 610-431-3600 Fax: 610-431-1363
TITLE APPLICATION
PLEASE PROVIDE THE FIRST PAGE OF THE AGREEMENT OF SALE
PRINT & FAX TO 610-431-1363
AGENT'S NAME ________________________________________
DATE _______________
ADDRESS ________________________________________
PHONE # ____________________
________________________________________
FAX # ____________________
________________________________________
SUBJECT PREMISES ____________________________________________________________
TOWNSHIP/BOROUGH _________________________
COUNTY ____________________
TAX PARCEL # _________________________
DEED REFERENCE ____________________
PRESENT OWNERS ____________________________________________________________
ADDRESS ________________________________________
PHONE # ____________________
________________________________________
FAX # ____________________
________________________________________
OWNER SS # ____________________
2ND OWNER SS # ____________________
BUYERS ____________________________________________________________
ADDRESS ________________________________________
PHONE # ____________________
________________________________________
FAX # ____________________
________________________________________
BUYER SS # ____________________
2ND BUYER SS # ____________________
SALE PRICE ____________________
LOAN AMOUNT ____________________
MORTGAGE COMPANY _______________________________________________________
ADDRESS ________________________________________
PHONE # ____________________
________________________________________
FAX # ____________________
________________________________________
CO-OP BROKER ____________________
AGENT NAME _________________________
AGENT PHONE # ____________________
FAX # ____________________
PROPOSED SETTLEMENT DATE: __________
NOTES: