Please fill out the following order form and click the Submit Form button to email the form to Classic Title. You may also print and fax the completed form to (812) 277-8815 or email Classic.Title@comcast.net

Request Order Form COMPANY INFORMATION: Company: Invalid value Contact: Invalid value Address: Invalid value Phone: Invalid value C/S/Zip: Fax: Invalid value Email: Invalid value PROPERTY: Address: Invalid value County: City: St: Zip: Parcel No: BORROWER(S): Last Name: First Name: Middle: SS#: Last Name: First Name: Middle: SS#: SELLER(S): Last Name: First Name: Middle: SS#: Last Name: First Name: Middle: SS#: LENDER: LOAN AMOUNT: PURCHASE PRICE: LOAN PAYOFF INFORMATION: First Mortgage: Account #: Second Mortgage: Account #: COMMENTS: Please attach a copy of the offer to purchase and if available any listing sheets, prior title policies, or additional information that will help expedite your order reqest.

Agreement of Terms Security Verification Please enter the security verification below. Click the "show another code" button if you have trouble reading the verification code. Show another code The submitted code is incorrect

Submit Request

---