Fidelity National Title Santa Barbara

4050 Calle Real #100, Santa Barbara, CA 93110 Phone: 805-879-9400 • Fax: 805-879-9450

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CUSTOM FARM REQUEST

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YOUR INFORMATION

Ordering Party : *
Company Name:
Address:
City:
State
Zip:
Phone:	( ) - ext
Fax:	( ) - ext
Contact Name: *
Email Address: *
Reference #:

OWNER INFORMATION

Name:
Name:

SUBJECT PROPERTY INFORMATION

Property Type:	If Other, please describe:
Address:
City:
State:
Zip:
County:

LEGAL DESCRIPTION

Lot:
Block:
Tract:
Map Book:
Page:
Tax/APN:
Full Legal Description:

SERVICES REQUESTED
Report Format :	Include in Report :
6 Line	Owner Occupied
1 Line	Absentee Owners
Other:	Only Records w/ Phones
	Area Sales Statistics (If Available)
	Other:
Label Format :	Data Format :
Site Address	ASCII (Comma Delimited)
Mail Address	DBF
Include:	Tab Delimited
Carrier Routes	Other:
Salutation	(NOTE: All data provided on 3.5" disks unless otherwise requested.)
Owner Name from Data
Current Resident
Bar Code
Sort Records, Labels or Data By :	Delivery Method :
Owner's Last Name	FAX
Document Date	Courier (Where Available)
Land Use	Sales Rep to Deliver
Parcel Number	U.S. Mail
Price & Stamps	E-Mail
Site Address	Other:
Total Assessment
Mail CRT
Site CRT
Other:
SPECIAL INSTRUCTIONS
Any additional information or instructions:
Please Identify Your Fidelity Sales Representative:*

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