Improvement Location Certificate Order Form
Contact Information (Who is Ordering?)
Your Name
Company Name
Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Phone Number
Fax
Email Address
Property Information
Name to Reference on ILC
Property Address
Legal Description
County
Adams
Arapahoe
Boulder
Broomfield
Denver
Douglas
Elbert
Jefferson
Weld
Title Company Information (Name/Address/Contact)
Loan Number
Listing Agent Information (Name/Address/Phone)
Order Information
Date Needed
Shipping Options
Overnight - $15
2 Day Delivery - $10
Standard Ground (5-7 Days) - FREE
Additional Information
Payment Information
Name on Card
Credit Card Type
Visa
MasterCard
American Express
Discover
Credit Card Number
Expiration Date (mm/yy)
CCV Number
Indicates Response Required
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