Courtesy Deed Preparation Request Form

DocTitle

Buyer1Name1

PrefixFirst NameMiddle NameLast NameSuffix

Buyer1Email1

example@example.com

Buyer1MobilePhone1

Buyer1Name2

PrefixFirst NameMiddle NameLast NameSuffix

Buyer1MobilePhone2

Buyer1Email2

example@example.com

Seller1Name1

PrefixFirst NameMiddle NameLast NameSuffix

Seller1MobilePhone1

Seller1Email1

example@example.com

Seller1Name2

PrefixFirst NameMiddle NameLast NameSuffix

Seller1MobilePhone2

Seller1Email2

example@example.com

SellerEntityName

SellerEntType

BuyerEntityName

BuyerEntType

FORM NOT COMPLETE UNTIL YOU CLICK THE SUBMIT BUTTON AT THE END

MERIDIAN TITLE CORPORATION CAN PREPARE DEEDS FOR RESIDENTIAL PROPERTY LOCATED IN INDIANA AND MICHIGAN ONLY.

MERIDIAN TITLE CORPORATION WILL PERFORM A LIMITED SEARCH OF THE PROPERTY RECORDS ON THE REAL ESTATE, THE GRANTORS, AND THE GRANTEES TO CONFIRM TITLE VESTING AND TO DETERMINE IF LIENS OR ENCUMBRANCES EXIST AGAINST SAID REAL ESTATE, GRANTORS, AND GRANTEES. A TYPED TITLE SEARCH REPORT OF THE FINDINGS WILL BE PREPARED.

UPON COMPLETION OF THE TITLE SEARCH REPORT, YOUR REQUEST WILL BE SUBMITTED TO MERIDIAN TITLE CORPORATION'S COUNSEL FOR APPROVAL.

IF THE REQUEST FOR DEED PREPARATION IS APPROVED, THE TITLE SEARCH REPORT WILL BE PROVIDED TO YOU. WE WILL ASK YOU TO CAREFULLY REVIEW THE REPORT AND THEN INFORM US IF YOU WOULD LIKE US TO PROCEED WITH THE DEED PREPARATION.

IF YOUR REQUEST FOR DEED PREPARATION IS DENIED, THE TITLE SEARCH REPORT WILL BE PROVIDED TO YOU AND YOU WILL BE NOTIFIED OF THE DENIAL. AT THIS TIME, YOU MAY WANT TO SEEK FURTHER LEGAL ASSISTANCE.

PLEASE NOTE, IF DEED REQUEST CONTAINS UNUSUAL OR EXTRAORDINARY CONDITIONS, ADDITIONAL FEES MAY APPLY.

Name*

PrefixFirst NameMiddle NameLast NameSuffix

Relationship to Current Property Owner*

I am the Current Property Owner (HEREAFTER REFERRED TO AS GRANTOR)I am the Property Recipient (HEREAFTER REFERRED TO AS GRANTEE)I am BOTH the Current Property Owner and Property Recipient (HEREAFTER REFERRED TO AS BOTH GRANTOR AND GRANTEE)Other

FormFiller

Email*

example@example.com

HIDE Mobile Number*

Please enter a valid phone number

Mobile Number *

Please enter a valid phone number.

What is your Preferred Method of Communication?*

EmailText

PLEASE NOTE: ALL COMMUNICATION will be sent by email to all Grantors and Grantees (and the individual completing this form if different than the Grantors and Grantees).

PLEASE NOTE: ALL COMMUNICATION will be sent by text to all Grantors and Grantees (and the individual completing this form if different than the Grantors and Grantees).

Property Address*

Street Address

Street Address Line 2

CityState (Choose Indiana or Michigan ONLY)

Zip Code

Property County*

Property County

Additional Property Information if Available

Example: Tax ID Number, Legal Description

Did Meridian Title Corporation Close on this Property in the Past?*

YesNoDon't Know

Meridian Title Prior File Number if Known

File Number Example 22-12345

Reason for Deed Request*

I am Removing my Spouse from Title pursuant to:*

Divorce from SpouseDeath of SpouseOther

PLEASE NOTE: Meridian Title will NOT prepare Deeds pursuant to a Divorce. Please seek the counsel of a Divorce Attorney. Please EXIT this form WITHOUT submitting it.

I am Removing Person/People from Title pursuant to:*

Death of IndividualOther

Name of Deceased

First NameMiddle NameLast Name

Date of Death

Date

County and State of Death

Street Address

Street Address Line 2

CountyState / Province

Did Meridian Title handle the original Land Contract Purchase?

YESNO

Please call Meridian Title for this request. Please EXIT this form WITHOUT submitting it.

Provide reason for your Deed Request.*

Example: Death Info, Split Info (Survey)

Is Money being exchanged between the two parties for the Purchase of this Real Estate?*

YESNO

What is the Purchase Price? (PLEASE NOTE: MERIDIAN TITLE WILL NOT FACILITATE THE EXCHANGE OF FUNDS)*

Grantor(s) is/are:*

Grantor Individual 1 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Individual 1 Email*

example@example.com

Grantor Individual 1 Mobile Number*

Please enter a valid phone number.

Add Additional Grantor

YesNo

Grantor Individual 2 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Individual 2 Email*

example@example.com

Grantor Individual 2 Mobile Number*

Please enter a valid phone number.

Add Additional Grantor

YesNo

Grantor Individual 3 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Individual 3 Email*

example@example.com

Grantor Individual 3 Mobile Number*

Please enter a valid phone number.

Add Additional Grantor

YesNo

Grantor Individual 4 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Individual 4 Email*

example@example.com

Grantor Individual 4 Mobile Number*

Please enter a valid phone number.

Add Additional Grantor

YesNo

Add Additional Grantor Names, Emails and Mobile Numbers below:

Grantor Company Name*

Company Name

Grantor Company Representative 1 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Company Representative 1 Title*

Example: President, Secretary, Manager

Grantor Company Representative 1 Email*

example@example.com

Grantor Company Representative 1 Mobile Number*

Please enter a valid phone number.

Add Additional Company Representative

YesNo

Grantor Company Representative 2 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Company Representative 2 Title*

Example: President, Secretary, Manager

Grantor Company Representative 2 Email*

example@example.com

Grantor Company Representative 2 Mobile Number*

Please enter a valid phone number.

Add Additional Company Representative

YesNo

Grantor Company Representative 3 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Company Representative 3 Title*

Example: President, Secretary, Manager

Grantor Company Representative 3 Email*

example@example.com

Grantor Company Representative 3 Mobile Number*

Please enter a valid phone number.

Add Additional Company Representative

YesNo

Grantor Company Representative 4 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Company Representative 4 Title*

Example: President, Secretary, Manager

Grantor Company Representative 4 Email*

example@example.com

Grantor Company Representative 4 Mobile Number*

Please enter a valid phone number.

Grantor Trust Name*

Name of Trust

Grantor Trustee 1 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Trustee 1 Email*

example@example.com

Grantor Trustee 1 Mobile Number*

Please enter a valid phone number.

Add Additional Trustee

YesNo

Grantor Trustee 2 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Trustee 2 Email*

example@example.com

Grantor Trustee 2 Mobile Number*

Please enter a valid phone number.

Add Additional Trustee

YesNo

Grantor Trustee 3 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Trustee 3 Email*

example@example.com

Grantor Trustee 3 Mobile Number*

Please enter a valid phone number.

Add Additional Trustee

YesNo

Grantor Trustee 4 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Trustee 4 Email*

example@example.com

Grantor Trustee 4 Mobile Number*

Please enter a valid phone number.

Grantor Estate Name*

Name of Estate

Grantor Estate Representative 1 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Estate Representative 1 Email*

example@example.com

Grantor Estate Representative 1 Mobile Number*

Please enter a valid phone number.

Add Additional Estate Representative

YesNo

Grantor Estate Representative 2 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantor Estate Representative 2 Email*

example@example.com

Grantor Estate Representative 2 Mobile Number*

Please enter a valid phone number.

Other Grantor Name*

Other Grantor Email*

example@example.com

Other Grantor Mobile Number*

Please enter a valid phone number.

Grantee(s) is/are:

Individual(s)CompanyTrustOther

Grantee Individual 1 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Individual 1 Email*

example@example.com

Grantee Individual 1 Mobile Number*

Please enter a valid phone number.

Add Additional Grantee

YesNo

Grantee Individual 2 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Individual 2 Email*

example@example.com

Grantee Individual 2 Mobile Number*

Please enter a valid phone number.

Add Additional Grantee

YesNo

Grantee Individual 3 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Individual 3 Email*

example@example.com

Grantee Individual 3 Mobile Number*

Please enter a valid phone number.

Add Additional Grantee

YesNo

Grantee Individual 4 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Individual 4 Email*

example@example.com

Grantee Individual 4 Mobile Number*

Please enter a valid phone number.

Add Additional Grantee

YesNo

Add Additional Grantee Names, Emails and Mobile Numbers below:

Grantee Company Name*

Company Name

Grantee Company Representative 1 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Company Representative 1 Title*

Example: President, Secretary, Manager

Grantee Company Representative 1 Email*

example@example.com

Grantee Company Representative 1 Mobile Number*

Please enter a valid phone number.

Add Additional Company Representative

YesNo

Grantee Company Representative 2 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Company Representative 2 Title*

Example: President, Secretary, Manager

Grantee Company Representative 2 Email*

example@example.com

Grantee Company Representative 2 Mobile Number*

Please enter a valid phone number.

Add Additional Company Representative

YesNo

Grantee Company Representative 3 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Company Representative 3 Title*

Example: President, Secretary, Manager

Grantee Company Representative 3 Email*

example@example.com

Grantee Company Representative 3 Mobile Number*

Please enter a valid phone number.

Add Additional Company Representative

YesNo

Grantee Company Representative 4 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Company Representative 4 Title*

Example: President, Secretary, Manager

Grantee Company Representative 4 Email*

example@example.com

Grantee Company Representative 4 Mobile Number*

Please enter a valid phone number.

Grantee Trust Name*

Name of Trust

Grantee Trustee 1 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Trustee 1 Email*

example@example.com

Grantee Trustee 1 Mobile Number*

Please enter a valid phone number.

Add Additional Trustee

YesNo

Grantee Trustee 2 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Trustee 2 Email*

example@example.com

Grantee Trustee 2 Mobile Number*

Please enter a valid phone number.

Add Additional Trustee

YesNo

Grantee Trustee 3 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Trustee 3 Email*

example@example.com

Grantee Trustee 3 Mobile Number*

Please enter a valid phone number.

Add Additional Trustee

YesNo

Grantee Trustee 4 Name*

PrefixFirst NameMiddle NameLast NameSuffix

Grantee Trustee 4 Email*

example@example.com

Grantee Trustee 4 Mobile Number*

Please enter a valid phone number.

Other Grantee Name*

Other Grantee Email*

example@example.com

Other Grantee Mobile Number*

Please enter a valid phone number.

Vesting/Tenancy (Please Note: Meridian Title cannot advise on how you should take title to the property)*

Mail Tax Statement to:*

Property AddressDifferent Address

CurrentAddressSameAsProperty:*

YesNo

Address for Tax Statements*

Street Address

Street Address Line 2

CityState

Zip Code

Would you like Meridian Title Corporation to provide Deed Signing and Deed Recording Services?*

YesNo

DEED PREPARATION ONLY: $350 (Includes the following: Title Search Report: $250, Deed: $100)

DEED PREPARATION WITH SIGNING AND RECORDING SERVICES: $509.25 (Includes the following: Title Search Report: $250, Deed: $100, Signing Service.: $100, Recording Service: $55, E-Recording: $4.25)

DEED PREPARATION ONLY: $420 (Includes the following: Title Search Report: $320, Deed: $100)

DEED PREPARATION WITH SIGNING AND RECORDING SERVICES: $579.25 (Includes the following: Title Search Report: $320, Deed: $100, Signing Service.: $100, Recording Service: $55, E-Recording: $4.25)

DEED PREPARATION ONLY: $350 (Includes the following: Title Search Report: $250, Deed: $100)

DEED PREPARATION WITH SIGNING AND RECORDING SERVICES: $489.25 (Includes the following: Title Search Report: $250, Deed: $100, Signing Service.: $100, Recording Service: $39, E-Recording: $4.25)

Preferred Signing Location*

I authorize Meridian Title Corporation’s counsel to prepare a deed on my (our) behalf. I understand that Meridian Title Corporation (MTC) and its counsel may approve or deny the preparation of the deed based solely upon information supplied by one or more of the parties to this conveyance, and a limited examination of the public records. The title search report is for reference purposes only. I understand that MTC will not be providing any services related to the clearing of the liens found, if any, from the title. I fully understand that if there are any title issues such as liens or encumbrances attaching to the real estate as a result of this conveyance or issues relating to estate planning, I will hold MTC and its counsel harmless against all loss or damage resulting from the conveyance.

I make this request with the understanding that I have had the opportunity to seek independent counsel to give me advice to this request and I understand that if approved, counsel for MTC will prepare the deed as an accommodation to me without providing me with any counsel to its effect. The undersigned acknowledge that the drafter assumes no liability for any errors, inaccuracy, or omissions in the deed resulting from the information provided, the parties hereto signifying their assent to this disclaimer by the Grantor’s execution and the Grantee’s acceptance of the deed.

I hereby acknowledges that the application of various tax exemptions and/or credits may not be applied due to this deed request and I agree to hold Meridian Title Corporation harmless against all loss or damage resulting from this conveyance request, including but not limited to the possibility of an increase in property taxes assessed against the property.

If the Request for Deed Prepararation is approved, separate Hold Harmless Agreements will be emailed to all Grantors and Grantees. The Hold Harmless Agreements must be signed by all Grantors and Grantees prior to Meridian Title starting the Deed Preparation.

FORM NOT COMPLETE UNTIL YOU CLICK THE SUBMIT BUTTON AT THE END

DEED PREPARATION ONLY: $350 (Includes the following: Title Search Report: $250, Deed: $100)

PLEASE NOTE, a non-refundable $250 Deposit is required for the Title Search Report at time of order placement. Meridian Title will not conduct the Title Search or prepare the Title Search Report until payment is received. The remaining balance of $100 will be due upon attorney approval and your confirmation to proceed. Please see payment options below.

DEED PREPARATION WITH SIGNING AND RECORDING SERVICES: $509.25 (Includes the following: Title Search Report: $250, Deed: $100, Signing Service.: $100, Recording Service: $55, E-Recording: $4.25)

PLEASE NOTE, a non-refundable $250 Deposit is required for the Title Search Report at time of order placement. Meridian Title will not conduct the Title Search or prepare the Title Search Report until the Deposit is received. The remaining balance will be due upon attorney approval, your confirmation to proceed, and the completion of the signing service. Please see Deposit Payment options below.

DEED PREPARATION WITH SIGNING AND RECORDING SERVICES: $509.25 (Includes the following: Title Search Report: $250, Deed: $100, Signing Service.: $100, Recording Service: $55, E-Recording: $4.25)

PLEASE NOTE, a non-refundable $250 Deposit is required for the Title Search Report at time of order placement. Meridian Title will not conduct the Title Search or prepare the Title Search Report until the Deposit is received. The remaining balance will be due upon attorney approval, your confirmation to proceed, and the completion of the signing service. Please see Deposit Payment options below.

DEED PREPARATION ONLY: $420 (Includes the following: Title Search Report: $320, Deed: $100)

PLEASE NOTE, a non-refundable $320 Deposit is required for the Title Search Report at time of order placement. Meridian Title will not conduct the Title Search or prepare the Title Search Report until payment is received. The remaining balance of $100 will be due upon attorney approval and your confirmation to proceed. Please see payment options below.

DEED PREPARATION WITH SIGNING AND RECORDING SERVICES: $579.25 (Includes the following: Title Search Report: $320, Deed: $100, Signing Service.: $100, Recording Service: $55, E-Recording: $4.25)

PLEASE NOTE, a non-refundable $320 Deposit is required for the Title Search Report at time of order placement. Meridian Title will not conduct the Title Search or prepare the Title Search Report until the Deposit is received. The remaining balance will be due upon attorney approval, your confirmation to proceed, and the completion of the signing service. Please see Deposit Payment options below.

DEED PREPARATION WITH SIGNING AND RECORDING SERVICES: $579.25 (Includes the following: Title Search Report: $320, Deed: $100, Signing Service.: $100, Recording Service: $55, E-Recording: $4.25)

PLEASE NOTE, a non-refundable $320 Deposit is required for the Title Search Report at time of order placement. Meridian Title will not conduct the Title Search or prepare the Title Search Report until the Deposit is received. The remaining balance will be due upon attorney approval, your confirmation to proceed, and the completion of the signing service. Please see Deposit Payment options below.

DEED PREPARATION ONLY: $350 (Includes the following: Title Search Report: $250, Deed: $100)

PLEASE NOTE, a non-refundable $250 Deposit is required for the Title Search Report at time of order placement. Meridian Title will not conduct the Title Search or prepare the Title Search Report until payment is received. The remaining balance of $100 will be due upon attorney approval and your confirmation to proceed. Please see payment options below.

DEED PREPARATION WITH SIGNING AND RECORDING SERVICES: $489.25 (Includes the following: Title Search Report: $250, Deed: $100, Signing Service.: $100, Recording Service: $39, E-Recording: $4.25)

PLEASE NOTE, a non-refundable $250 Deposit is required for the Title Search Report at time of order placement. Meridian Title will not conduct the Title Search or prepare the Title Search Report until the Deposit is received. The remaining balance will be due upon attorney approval, your confirmation to proceed, and the completion of the signing service. Please see Deposit Payment options below.

Deposit Payment Options:*

Pay Online (PayPal, Debit/Credit Card)Mail CheckDrop Off CheckPayment Already Made

A check for payment of the Deposit Invoice can be mailed to our office at the address listed below. Please reference the property address on the check.

Meridian Title Corporation
Attn: Accounts Receivable
202 S. Michigan St., Ste. 300
South Bend, IN 46601

A check for payment of the Deposit Invoice can be dropped off to most of our office locations. Please select a location below.

Check Drop Off Location*

THANKS for already submitting your Deposit Payment!

PLEASE SELECT THE CORRECT OPTION BELOW:*

Courtesy Deed Preparation DepositDO NOT Choose this Option if Property is Located in Lake or Porter County, Indiana.

$250.00

Courtesy Deed Preparation Deposit (LAKE AND PORTER COUNTY, INDIANA ONLY)Choose this Option for Lake and Porter County, Indiana Property ONLY

$320.00

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Courtesy Deed Preparation Request Form

Deed Preparation Request Form Completed by:

Property Information

Reason for Deed Preparation Request

Grantor(s)

Grantee(s)

Vesting/Tenancy

Tax Statement

Deed Signing and Recording Services

Deed Preparation Terms and Conditions

Deed Preparation Service Fees