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Abstracting / Services Request Form

Date

Date Needed

Owner

Address

Tax ID Number

Legal Description

Service Needed Judgement Lien Search
State or Federal Lien Search
New Abstract
RPA
40 Year Tract Search
Owners and Encumbrance Reports

Ordered by:

Name

Address

Phone Number

Email Address

Special Instructions

Send copy to my email:

Email

Send Copy to My Email

Thank You for Your Submission.

Abstract Service Company • 111 NW 5th Street, Grand Rapids, MN 55744
218-326-9010 • 218-326-8030 (Fax)