Terrill Title Co., Inc. - Lender's Title Insurance Order Form

To place an order online just fill in all the fields below and click submit. We also have an "offline" version of this form which you may download and print.

Online Order Form

Note: Required fields are red and marked with an underline.


	Owner's name
	Loan amount
	Endorsements required	Location EPA Comprehensive
	Address / Legal description
	Country of search
	County of search
	Tax ID Numbers
	Special instructions / Additional services requested
	Ordered-by name
	Company name
	Address
	Phone number
	Fax number
	Email address

Offline Order Form

Thumbnail image for the lender's title insurance order form.

Offline Order Form

You may download and print our "offline" version of this form. Once you have printed the form and filled it in, just fax it to us (309-833-5375) or drop it by our office.

Please note: To use the offline version of the form you must have the free Adobe Acrobat Reader software on your computer.

Macomb Office
117 South Side Square
Macomb, IL 61455
Phone 309-833-2881
Fax 309-833-5375

Lewistown Office
143 W. Lincoln Avenue
Lewistown, IL 61542
Phone 309-547-7280
Fax 309-547-7281