ALL AMERICAN SURVEYING

SURVEY ORDER REQUEST

DATE: _______________        ORDERED BY: __________________________        CONTACT PERSON: ____________________________

PHONE: ___________________    FAX: ___________________     TASK TYPE: ________________________________________________

PROPERTY ADDRESS: ______________________________________________________________________________________________

LEGAL DESCRIPTION REQUIRED:

SUBDIVISION OR ABSTRACT NAME: _________________________________________________________________________________

LOT: _______________             BLOCK: __________________      ACRES: _______________________     TRACT #: __________________

REQUESTED DUE DATE: _________________________________         CLOSING DATE: _____________________________________

TITLE COMPANY

TITLE COMPANY NAME: ___________________________________________________________________________________________               

CONTACT PERSON: ______________________________________       PHONE: ___________________      FAX: ____________________  

LENDER / MORTGAGE CO. / BANK   

NAME: __________________________________________________       CONTACT PERSON: ____________________________________

PHONE: ___________________   FAX: ______________________      HAS LOAN BEEN APPROVED? _____________________________

BUYER / SELLER

BUYER:_________________________________    CURRENT ADDRESS: _____________________________________________________

PHONE: _____________________   ALT. PHONE: ______________________      FAX: ___________________ ALT. FAX: ______________

SELLER: ________________________________   CURRENT ADDRESS: _____________________________________________________

PHONE: _____________________   ALT. PHONE: ______________________      FAX: ___________________ ALT. FAX: ______________

      PARTY RESPONSIBLE FOR PAYMENT ( MUST BE COMPLETED, SIGNED AND APPROVED BY AAS)

NAME:_________________________________________________________  ADDRESS: ________________________________________

PHONE: _____________________   ALT. PHONE: ______________________      FAX: ___________________ ALT. FAX: ______________

SPECIAL INSTRUCTIONS:___________________________________________________________________________________________

DELIVER TO: ______________________________________________________________________________________________________(DELIVER TO: )

SIGNATURE:___________________________________ (ELECTRONIC SIGNATURE ACCEPTED THROUGH WEBSITE SEND ONLY-

PRINTED NAME: ______________________________       DATE:________________                ALL OTHER FORMS MUST BE SIGNED)

114-B W. MAIN                                                                                                                                                                        PHONE: 940-665-9105

GAINESVILLE, TX                                                                                                                                                                          FAX: 940-665-9106