VALLEY LAND TITLE COMPANY, INC.


Telephone   918-775-4872   Fax 918-775-4812    Email: abstract@vltitle.com

GAP CHECK ORDER FORM





Verbal Gap ______ Written Gap ______


Name: _____________________________ Phone: _______________________________

Fax: _______________________________ Email: _______________________________

Property Owner: ______________________________________________________________________

Legal Description: _____________________________________________________________________

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Instructions, Comments:_________________________________________________________________

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Start/Begin Date:____________________________