Document Order Form

Patrick W. Walsh, P.C. - Attorneys at Law

625 Plainfield Road, Suite 330

Willowbrook, Illinois 60527

(630)-794-0300

Requestor Info:

Requested By:	* (Required field)
Address:	*
City:	*
State:	* ZipCode * County *
Company name if applicable:
Phone:	*
Fax
E-mail Address:	*

Type of document requested: * Other:

FileNumber:

Need Document By: *

___________________________________________________________________________________________________________________________

Reason for ordering document: *

Subject property information:

Street Address	*
City	*
State	* ZipCode * County *

Legal Descripton:

Assessor's Parcel Number, Tax Identification Number or Property identification:

__________________________________________________________________________________________________________________________
Describe how the Property is currently vested in title:

Full Names of Grantor(s):

Grantor 1 Name	*
MaritalStatus	*
MarriedTo
HomesteadWaiver

Grantor 2 Name
MaritalStatus
MarriedTo
HomesteadWaiver

Grantor 3 Name
MaritalStatus
MarriedTo
HomesteadWaiver

Grantor 4 Name
MaritalStatus
MarriedTo
HomesteadWaiver

Please list any additional Grantor

Grantor Address:

Street Address
City
State	ZipCode County

___________________________________________________________________________________________________________________________

Full Names of Grantee(s):

Grantee1 Name	*
MaritalStatus	*
MarriedTo
HomesteadWaiver

Grantee2 Name
MaritalStatus
MarriedTo
HomesteadWaiver

Grantee3 Name
MaritalStatus
MarriedTo
HomesteadWaiver

Grantee4 Name
MaritalStatus
MarriedTo
HomesteadWaiver

Grantee Address:

Street
City
State	ZipCode County

Describe how Grantee(s) will be vested in title: *

Will the Grantee(s) reside at the property?*

For Warranty Deed with Vendors Lien Reserved only :

Lender Name:

Amount:

Any general comments or notes:

Document Signing State:

Document Signing County:

TERMS & CONDITIONS OF DOCUMENT USE

IF YOU USE THE ATTACHED DOCUMENT(S), YOU AGREE TO ALL OF THE FOLLOWING TERMS AND CONDITIONS OF USE:

User acknowledges that the above law firm and attorneys do not represent Document User, Purchaser, Seller, or Borrower in their real estate matter. THERE IS NO ATTORNEY/CLIENT RELATIONSHIP between attorneys and Document User, Purchaser, Seller, Borrower or any other person or entity. Any and all fees paid are for routine document preparation only. Fees do not include any services or opinions relating to obtaining lienholder consent, curing title problems, obtaining title insurance or policy endorsement. Fees do not include property searches, verification of legal descriptions or recording documents. Document User, Purchaser, Seller and/or Borrower acknowledge that Attorney did not provide any opinions or advice regarding title, zoning, taxes, easements, restrictions, land use, examination, adequacy of loan documents, and enforceability of loan documents, remedies or compliance. It is understood that financial statement analysis, economic forecasting, or valuation were not addressed by the above attorneys. Similarly, no opinions or advice were given regarding land use laws, usury laws, environmental laws, taxes or other similar matters. Document User, Purchaser, Seller and/or Borrower understand that if additional services are sought from any of the above attorneys, the attorneys will determine the scope of such additional services and the required fees. No additional research or investigation was requested or performed. It is understood that some documents may not be prepared without additional information obtained from Document User, Purchaser, Seller and/or Borrower. It is further acknowledged that the accuracy of the document(s) generated depends on the accuracy of the information hereto provided by Document User, Purchaser, Seller and/or Borrower. Document User, Purchaser, Seller and/or Borrower consents to documents being faxed or e-mailed to the closing location or title company office. Use of this document is authorized solely for one specific transaction. No person or entity is authorized to re-use this document for any additional matters or transactions. Courier delivery charges are the responsibility of Document User, Purchaser, Seller and/or Borrower.

IF YOU DO NOT AGREE TO THE TERMS & CONDITIONS OF DOCUMENT USE, YOU ARE NOT AUTHORIZED OR PERMITTED TO USE THE DOCUMENT. USE OF THE DOCUMENT CONSTITUTES ACCEPTANCE OF ALL TERMS & CONDITIONS OF DOCUMENT USE.

I agree to terms and conditions regarding document request: *