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YORK
Mun Type
Parcel/Lot #
Block #
Real Estate Type
Residential
Commercial
When is Title Required
Prior Title/ Original Order No
Client File #
Mortgage Book/Page
Mortgage Price $
Sale Price $
Refinance
First
Middle
Last
Sales Person Name
Owner's Information
First
Middle
Last
Name 1
*
First
Middle
Last
Name 2
Company Name
Street Address
City, State, Zip
AL
AR
AZ
CA
CO
CT
DE
FL
GA
IA
ID
IL
IO
KS
KY
MA
MD
ME
MI
MO
NC
ND
NH
NJ
NV
NY
OH
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WY
Phone #
Buyer's Information
First
Middle
Last
Name 1
*
First
Middle
Last
Name 2
Company Name
Street Address
City, State, Zip
AL
AR
AZ
CA
CO
CT
DE
FL
GA
IA
ID
IL
IO
KS
KY
MA
MD
ME
MI
MO
NC
ND
NH
NJ
NV
NY
OH
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WY
Phone #
Applicant's Information
First
Middle
Last
Name
*
Company Name
Street Address
City, State, Zip
AL
AR
AZ
CA
CO
CT
DE
FL
GA
IA
ID
IL
IO
KS
KY
MA
MD
ME
MI
MO
NC
ND
NH
NJ
NV
NY
OH
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WY
Phone #
Fax #
Email
*
Confirm Email
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Comments
Atty For Seller/Purchaser
Descendant
Date of Death
Will / ADM No
Tentative Settlement Date / Place
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