Application for Letter Report

Directions:  To ensure accuracy, please complete all asterisk items below and as many of the non-asterisk items to assist us in completing the title order process.

Applicant Information

Name of Person Placing Order:(*)
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Lending Institution:(*)
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Please enter a valid email address.
Billing Address:(*)
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Billing Address 2
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Billing City:(*)
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Billing State:(*)
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Billing Zip(*)
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Please enter a valid phone number (xxx-xxx-xxxx)
Please enter a valid fax number (xxx-xxx-xxxx)
Date Needed By:(*)
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Report Information

Report Type
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Property Owner Name(s):(*)
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Property Address:(*)
Please enter a property address.
How many parcel(s) does the subject property contain?(*)
Please enter only numbers.
Special Instructions:
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Important: Upon completion of the above order form you will receive an email confirmation that we have received your title order request. If you do not receive the confirmation, please contact us at (920) 235-0017.
Disclaimer: This report is based on information recorded and filed in the various public offices of Winnebago County, Wisconsin. This report is prepared only for the informational purposes of the addressee above. Furthermore this report does not purport to show; recorded or unrecorded easements and restrictions, environmental liens or superliens, matters of survey, governmental zoning ordinances, or pending legal actions that may affect the property described above. The information contained herein is not to be construed as a legal opinion of title and Assurance Title Services, Inc. is only liable up to the face amount of the fee paid for this report.
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Submit this Application:

Letter Reports are used for short search situations, where the client does not need title insurance coverage.

Examples of usage are for:

  • Second Mortgages,
  • Home Equity Lines of Credit,
  • Attorneys seeking information, or
  • Individual contemplating a short sale or foreclosure sale.

Please contact our office at (920) 235-0017 for a quote on our Letter Report Fee if you do not have an established account with us.

If you would prefer to download the PDF verison of this form you can do so here: 

All supplied information will be kept strictly confidential.
Assurance Title complies with the ALTA Best Practice Policies. View our "Privacy Policy Notice."

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