Midwood Abstract, Inc.

125 Elmbank Street, Staten Island, NY 10312

Tel: (718) 715-4149

Fax: (718) 889-7535

Email: MidwoodAbstract@Gmail.Com

Requester's Phone Number: *

The completed lien search report will be sent by e-mail to the requested party, unless additional e-mail addresses are provided below:

To avoid delays and possible additional fees; Enter as many names/variations as you need separated by a comma before placing the order.

To avoid delays and possible additional fees; Enter as many names/variations as you need separated by a comma before placing the order.

Special Instructions:

Additional Recipients E-mail Adresses:

Requester's Email Address: *

Lender: *

Purchase/Refinance *

Purchase

Refinance

Lien search order form:

Seller(s): *

Purchaser(s): *

CO-OP Address: *

CO-OP Name: *

Unit: *