APPLICATION FOR TITLE INSURANCE REPORT/SEARCH APPLICATION REQUIRED ITEMS ARE HIGHLIGHTED DATE ORDERED: PREVIOUS HBW ORDER #: OWNER’S NAMES & ADDRESSES: Name: Phone No.: Email Address: Address: ONE OF THE FOLLOWING MUST BE FILLED OUT:

 PROPERTY STREET ADDRESS:

CITY: STATE: ZIP: COUNTY:

 LEGAL DESCRIPTION: SEE ATTACHED ______

 PIN NO.:

APPLICANT: Name: ______Phone No.: Email Address: ______Address:

CIRCLE TYPE OF REPORT/SEARCH: Ownership and Lien (Last Deed of Record) Name Search Search Package: 10 Year 20 Year 40 Year Other______CIRCLE PROPERTY TYPE: Residential Multi-Family Commercial Farmland Only Farmland & Residence Vacant Land Condominium Townhouse Other:

WWW.HBWTITLE.COM BLANK REPORT/SEARCH APPLICATION REV. 2/2016