FLAGLER COUNTY ABSTRACT COMPANY
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FLAGLER COUNTY ABSTRACT COMPANY |
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ESTABLISHED IN 1917
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Branch Office |
Main
Office & All Correspondence |
Branch
Office |
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300 N. 2nd Street Flagler Beach, FL 32136 386/517-1678 Fax: 386/439-6314
E-mail: fcacfb@flaglercountyabstract.com |
305-307 East Moody Blvd. Post Office Box 398 Bunnell, FL 32110 386/437-4151 Fax: 386/437-1913 E-mail: fcac@flaglercountyabstract.com |
50 Cypress Point Parkway Suites A-3 and A-4 Palm Coast, FL 32164 386/445-1823 Fax: 386/445-3395 E-mail: fcacpc@flaglercountyabstract.com |
Title Request Information Sheet PLEASE TYPE OR PRINT Property Information Parcel ID Number: ___________________________________ Legal Description: Lot(s) / Unit(s) ___________, Block __________, Section / Subdivision ________________________________________________ Property Address: ______________________________________________________________ Home Owner's Association: Name _________________________________________________ Phone#:_________________ Dues:$ _________ are paid annually - quarterly - monthly Transaction Information Sales Price: $________________________ Closing Date:_____________________________ Deposit: $___________ Held By: Selling Agent - Listing Agent - Other:___________________ Type of Transaction: Cash - Mortgage Loan Amount:$_____________ Lending Institution Name: _____________________________ Lending Institution Phone#:_________________ Contact:_______________________________ Title Insurance Paid by: Seller - Buyer Documentary Stamps on Deed paid by: Seller - Buyer Seller Information Name:________________________________________________________________________ Mailing Address:_______________________________________________________________ Telephone - Home________________________________ Work:________________________ S.S.#:____________ S.S.#:____________ Marital Status: Married - Single - Surviving Spouse Current Mortgage Holder #1:_____________________________________ Loan#:_______________________ P/O Ph#_______________ Current Mortgage Holder #2:_____________________________________ Loan#:_______________________ P/O Ph#_______________ Listing Broker:_________________________________ Agent Name: _____________________ Agent Phone: Office#___________________ Cell#_________________ Commission:________ Type of Closing: Mail Away - FCAC Office: Bunnell - Palm Coast - Flagler Beach Buyer Information Name:________________________________________________________________________ Mailing Address:_______________________________________________________________ Mailing Address After Closing:____________________________________________________ Telephone - Home________________________________ Work:________________________ S.S.#:____________________ S.S.#: ____________________ Marital Status: Married - Single Selling Broker:_________________________________ Agent Name: _____________________ Agent Phone: Office#___________________ Cell#_________________ Commission:________ Type of Closing: Mail Away - FCAC Office: Bunnell - Palm Coast - Flagler Beach Notes / Important Information / Special Instructions____________________________________ ________________________________________________________________________________________ Thank You for using Flagler County Abstract - We appreciate your business |