Purchase Form

Order Information

Please send title order to:*
Closing at Kenzley Title Group?* Yes No
Selling Price ($)*
Commitment needed by:*
Prior case number:
Estimated closing date:*

Property Information

Address*
State
ZIP Code
County*
Property tax number:

(Please put additional property tax numbers in the Special Instructions field at the bottom of the page.)

Property Type
Short legal description:

Seller/Owner Information

Seller/owner full name:*
Seller/owner 2 full name:
Seller marital status:
Is there a seller's agent? Yes No
Is there a seller's attorney? Yes No

Buyer Information

Buyer full name:*
Buyer 2 full name:
Buyer marital status:
Is there a buyer's agent? Yes No
Is there a buyer's attorney? Yes No

Ordered by Information

Ordered by:
Will there be a loan? Yes No
Send Confirmation Email To:*
Other comments/information: