Survey Order Form Buyer * First Name Last Name Phone * Buyer's phone (###) ### #### Address * Buyer's address Address 1 Address 2 City State/Province Zip/Postal Code Country Seller * First Name Last Name Phone * Seller's Phone (###) ### #### Address * Seller's Address Address 1 Address 2 City State/Province Zip/Postal Code Country Escrow Officer * Kim Bateman Cassidy Henderson Savanah Miklas Kari Roberson Address * Property to be Surveyed Address 1 Address 2 City State/Province Zip/Postal Code Country Legal Description * Date Needed * MM DD YYYY Estimate Closing Date * MM DD YYYY Date Set: MM DD YYYY Preferred Survey Company If none, title will choose Land Type Check all that apply Clear Brush Trees Mixed Fences House Barns Authorization The undersigned agrees to authorize the survey work on the above property and agrees to pay all cost associated and agreed upon in this contract. All survey fees must be paid at closing. All surveys ordered by Van Zandt Abstract LLC over $1500 will require a deposit of $500. If a file cancels and cost are incurred Van Zandt Abstract LLC will use funds in escrow to pay for survey, per Section 18.B of the TREC Contract if necessary. By Checking, Requestor Agrees Request date MM DD YYYY We have received your request. Thank you for trusting Van Zandt County Abstract and Title for your property transaction needs.
