ACRIS Order Form

125 Elmbank Street, Staten Island, NY 10312

Tel: (718) 715-4149

Fax: (718) 889-7535

Email: MidwoodAbstract@Gmail.Com

Requester's Phone Number: *

Comments

PLEASE NOTE: MIDWOOD ABSTRACT, INC. DOES NOT PROVIDE ANY LEGAL OR TAX ADVICE IN THE PREPARATION OF TRANSFER FORMS OR OTHER DOCUMENTS, BUT RATHER ACTS SOLELY IN AN ADMINISTRATIVE CAPACITY BASED UPON THE INFORMATION PROVIDED BY THE APPLICANT. ACCORDINGLY, MIDWOOD ABSTARCT, INC. SHALL NOT BE RESPONSIBLE FOR ANY ERRORS OR OMISSIONS. THESE FORMS SHOULD BE EXAMINED BY AN ATTORNEY PRIOR TO SIGNING AND RETURNED TO THIS OFFICE IMMEDIATLY AFTER CLOSING.

If CO-OP, Provide Corporation's Name: *

Seller's Name, Address & SSN: *

Purchaser's Name, Address & SSN: *

Seller's Attorney- Name, Add & Phone Number: *

Purchaser's Attorney- Name, Add & Phone Number: *

Premises: *

Closing Date: *

Selling Price: *

Requester's Email Address: *

Contract Date *

ACRIS ORDER FORM:

Midwood Abstract, Inc.