Title Services, Inc. Online Order Form You may print this form, fill it out, and fax it to Title Services, Inc. at 505-445-3604 or fill out the form and attach it to an email to tsi@raton.com Date:________________ Ordered by:_____________________________________ Address:_______________________________________________________________ City:________________________ State:______________ ZipCode:__________ Telephone:_________________________ Fax:_____________________________ Order For: Commitment___________ Search__________________ Ordered For:___________________________________________________________ Subsequent to (date):__________________________________________________ Sellers:_______________________________________________________________ Purchasers:____________________________________________________________ ReFinance Amount: $______________ Owner's Policy Amount: $____________ Loan Policy Amount: $__________________ Lending Institutuion:__________________________________________________ Survey:________________________ Lien Coverage:________________________ Legal Description of Property:_________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ If you have any questions about filling out this form, please give us a call at 505-445-3603 or 1-800-850-3603. Or you can email us at tsi@raton.com