Abstract Authorization

Date

YYYY

Ordered By

First Name

Last Name

Charge To

Address

City, State, Zip Code

Email Address

Phone

(###)

###

####

Fax Number

(###)

###

####

Legal Description of Property

Property Address

Owner/Seller

Buyer

Customer's Order/File Number

Choose all That Apply

Update Abstract

Surface Only

Written Gap

Title Report

Further Instructions

Text

I hereby authorize Harmon County Abstract, LLC to process my order as described above. I also agree to pay the abstractor’s bill immediately and direct to the abstractor. I understand by signing this form that I will be the person who is billed and therefore responsible.

**Abstracts over $500.00 will require payment to be made in advance, before abstract will be delivered.**