Abstractors Application

General Information

*=required field

*Name:

Company:

*Email address:

Street address:

City:

State:

Zip code:

Telephone Numbers

Office number:

Home number:

Cell number:

Fax number:

Qualifications

Is your company incorporated?

Yes    No

*Are you currently carrying
Errors & Omissions insurance
on your work?

Yes    No

If yes, with which company?

Amount of coverage:

Expiration date:

Activity Areas

List all counties where
you feel qualified to
complete title searches

References

To summarize your experience, list two verifiable clients and/or employers which you have performed searches for and we may contact

Reference 1

Company name and address

Title/contact:

Type of business:

Phone number:

Reference 2

Company name and address

Title/contact:

Type of business:

Phone number:

Fee Schedule

Please indicate what fees you will charge for the following services:

Owner 1:

Owner 2:

Owner 3:

Full search:

Tax search:

Update/Recording fee:

Judgment fee:

Record only:

Deed report:

Mortgage report:

(Note: Midwest Abstract & Research will never sell or give away your email address or any other information. We value your privacy as much as we hope others value ours!)