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Open Title Request Form
Date: __________________________________ Seller Name: _______________________________
Attn: Independence Title _________________________________________
Fax:____________________________________ _________________________________________
RE: Request to open title work
I will be selling my property located at: ____________________________________________________
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____________________________________________________________________________________
Please open title work on this property as soon as possible because I will request any contract submitted to
close at Independence Title. Before we receive a contract on the property, I want to be sure that there are
not any potential outstanding title defects that would cause Independence Title to be unable to insure this
property.
There may be a potential title issue centered around the following (if none known, put NA): ___________
____________________________________________________________________________________
____________________________________________________________________________________
If applicable or available, please enclose a copy of the prior Owners Title Policy and prior survey of the
property.
Please let us know if you need any additional information to process this request.
Sincerely,
X _____________________________________ X ________________________________________
Please sign and print names above to show how title is currently held.