REQUEST FOR TITLE SEARCH PRODUCT

8133 Old Federal Road

Montgomery, AL 36117
Phone: 334-395-5870
Fax: 800-208-2291
Email: altiteorders@firstam.com

A. REQUESTER DETAILS
NAME EMAIL ADDRESS NCS FILE

☐ Yes ☐ No
PHONE NUMBER FAX NUMBER FILE NUMBER DELIVERY METHOD

☐ Email ☐ Fax ☐ AgentNet

B. SEARCH DETAILS
SEARCH TYPE SEARCH PERIOD

☐ Full Search ☐ Update Only ☐ 1-Owner ☐ 2-Owner ☐ Other ☐ 40 Years ☐ 60 Years ☐ Point Acceptable to FATIC ☐ Other
SEARCH COUNTY PLEASE DELIVER SEARCH PRODUCT ON OR BEFORE DO YOU HAVE A PRIOR SEARCH OR OWNER’S POLICY?

☐ Yes (if yes, please provide copy) ☐ No

COPIES REQUIRED
☐ Title Chain Only ☐ Vesting Deed, and Pertinent Pages Only ☐ All Easements, Liens and Encumbrances ☐ Other (explain)
SPECIAL INSTRUCTIONS (attach additional pages if necessary)

C. PROPERTY DETAILS
PROPERTY TYPE

☐ Improved, One-to-Four Single Family Residential ☐ Commercial / All Other

ESTATE OR INTEREST DO YOU HAVE A SURVEY?

☐ Fee Simple ☐ Leasehold ☐ Easement Appurtenant ☐ Other (explain) ☐ Yes (if yes, please provide copy) ☐ No
OWNER(S) NAME BUYER(S) NAME

PROPERTY ADDRESS PARCEL NUMBER(S)

LEGAL DESCRIPTION ☐ Attached (Preferred)

D. AGREEMENT REGARDING TITLE SEARCH PRODUCTS; LIMITATION OF LIABILITY

Requester hereby certifies that the requested title search product will be used:
☐ (a) For the sole purpose of preparing a commitment, policy or endorsement to be issued by First AM.
☐ (b) For a purpose other than preparing a commitment, policy or endorsement to be issued by First AM (e.g., preparation of
title policies to be issued by another underwriter, use by other end-user, etc.).
In the event (b) is selected, Requester acknowledges that a separate “Limited Liability Agreement” must be executed by each end-
user and returned to First AM prior to the search work being initiated.

E. SIGNATURE
I have agreed to submit this request by electronic means. I understand that an electronic signature has the same legal effect and can
be enforced in the same way as a written signature. By typing my name below (instead of handwriting my signature) or emailing
this completed form without a signature, I am electronically signing this request.

Requester Signature Date

Clear Form