Terrill Tax Service, Inc. - New Tax Account Setup Form

Offline Order Form

Thumbnail image for the tax service order form.

Place an order online for the Terrill Tax Service. 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. 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.

Graphical button for the Adobe Acrobat Reader.

Online Order Form

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


	Bank name
	Loan number
	Note date
	Note Maturity Date
	Borrower 1 Name
	Borrower 2 Name
	Property address
	County (one per line)
	Parcel ID# (one per line)
	Mailing address (if different than property address)
	Legal description
	Email address

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

Lewistown Office
405 N. Main Street
Lewistown, IL 61542
Phone 309-547-7280
Fax 309-547-7281

Pittsfield Office
109 E. Washington Street
Pittsfield, IL 62363
Phone 217-919-2404
Fax 217-919-2435