TITLE SEARCH CHECKLIST

Commitment No.: County: File No.: Client: Brief Legal Description: Buyer: Seller: Other Names to Search: Prior Title Evidence: Policy No.: Date: Company: Open Mortgages: Last Deed of Record: Special Circumstances (Probate, Bankruptcy, Divorce, Foreclosure, etc.):

Initial Search Real Estate Taxes For each index, Effective Date: #1 Permanent Index No. (PIN): indicate the date of Time: Current Assessed Payer: the starting point of Searched From: Address: the search. Searcher: Confirmed PIN with Tax Map:  Yes  No Prior Title Current Year: Total: Index Seller Buyer Holders First Installment Second Installment Tract Amount Status Amount Status Grantor Current Year 20____ $ $ Grantee Prior Year 20____ $ $ Mortgagor Prior Year 20____ $ $ Mortgagee Prior Year 20____ $ $ Judgment Lien Prior Year 20____ $ $ Federal Tax Lien Special Assessments:  Yes  No State Tax Lien Recording Date: Other Tax Lien Installment Amount: $ Sold?  Yes  No Mortgage Release Installment Amount: $ Sold?  Yes  No Miscellaneous Installment Amount: $ Sold?  Yes  No

Plat Index Lessor Index #2 Permanent Index No. (PIN): Lessee Index Current Assessed Payer: Oil & Gas Lease Address: Mechanics’ Liens Confirmed PIN with Tax Map:  Yes  No Mobile home Current Year: Total: Retailer’s Occupation First Installment Second Installment Old Age Assistance Amount Status Amount Status Unemployment Current Year 20____ $ $ Prior Year 20____ $ $ Prior Year 20____ $ $ Prior Year 20____ $ $ Prior Year 20____ $ $ Special Assessments:  Yes  No Recording Date: Installment Amount: $ Sold?  Yes  No Installment Amount: $ Sold?  Yes  No Installment Amount: $ Sold?  Yes  No

Plat Notes and Restrictions Easements Type Size Location

Building Setbacks Type Size Location

Access:

ATG FORM 4117 FOR USE IN: ALL STATES © ATG (REV. 4/16) Page 1 of 2

CHAIN OF TITLE

Document Recording Book/Page Document No. Grantor Grantee Date Remarks Type Date

ATG FORM 4117 FOR USE IN: ALL STATES © ATG (REV. 4/16) Page 2 of 2