Quit Claim Kit Order Form
Call (734) 425-1074 for assistance in completing this form
Payment type:
Visa
MasterCard
Money Order
If paying by Visa/MasterCard please complete the following:
Card Number:
Expiration Date:
/
CVV Code:
(The 3-digit code on the back of the card)
ZIP Code:
Your Name:
Phone Number:
Street Address:
City, State, and ZIP code:
Email Address:
Send Quit Claim Kit Via:
Email
USPS
I want a Quit Claim Kit because:
We are divorcing, husband is keeping the house.
We are divorcing, wife is keeping the house.
I am adding my spouse
I am adding my child/children/grandchild as joint tenants.
I am adding my child/children/grandchild with rights of survivorship.
I am selling my interest to another person.
I am gifting my interest to another person.
The CURRENT Grantor(s) names as listed on your Deed:
The Grantors current addresses:
The full name of the person(s) your adding as Grantor and their current address(es):
The full name of the person(s) your removing as Grantor and their address(es):
The LEGAL description of the property: NOTE: This must be
EXACT
. You can also fax over the deed to us if you'd like.
Tax ID Number: (This information can be found on your current deed or on a tax bill.)
County you live in:
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