Surveyor Location Report (SLR) Online Order Form
Company Name:
Select One
Advantage Title, Inc.
Cathy Russell Team Real Estate
Century 21 Right Angle Realtors
Crossman Communities
Francis Real Estate
Homes by Prairie
Lafayette Bank & Trust Co.
Lafayette Savings Bank
Member’s Title
Merit Realty, Inc.
Re/Max
Salin Bank & Trust
Shook Agency Colldwell Banker
Stallard & Schuh
Title First Agency
Other Company
Other:
Ordered by:
Name:
Email:
Phone:
Please check here if your request is a status update of an existing order.
Survey Information:
Subdivision:
Select One
Buckingham Estates
Carrington Estates
Deerfield Farms
Hawks Nest
Hickory Meadows
The Landings
Lexington Farms
Raineybrook
Saddlebrook
Seasons Four
Shawnee Ridge
Sterling Heights
Stonehenge
Wake Robin
Other Subdivision
Other:
Section:
Phase:
Part:
Lot Number:
Brief Legal:
***If available please fax copy of legal description to 765-742-5271***
Street Address:
City/Town:
Select One:
Residential
Commercial
Closing Date:
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2007
2008
2009
2010
2011
Owner:
Purchaser:
Key Number:
(if possible)
When Ready:
Call
Fax
Deliver
(downtown Lafayette)
Mail (enter mailing address here)
Comments:
