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Title Insurance and Settlement Best Practices



* indicates required field
Order Information:
* Select Order Type:
* Select Closing Location:
Order being placed by:
* Name:
* Phone:
Cell:
Fax:
* Email:
Seller Information:
* Name:
Address:
Phone:
Cell:
Email:
Marital Status:
Purchaser Information:
* Name:
Address:
Phone:
Cell:
Email:
* Brief Legal Description/Property Address:
In order to expedite your order, please provide us with copies of the previous title binder, deed and survey. You may fax these to us or email them to Susan Adams.
Cash Sale-No Financing:
Yes No
Purchase Price:
Payoff Information:
Lender Name:
Phone:
Loan Number:
Owner SSN:
(required to obtain payoff)
New Loan Information - First Loan:
Amount:
Loan Number:
Lender Name:
Loan Officer:
Street Address:
City:
State:
Zip:
Loan Officer Phone:
Loan Officer Email:
New Loan Information - Second Loan:
Amount:
Loan Number:
Lender Name:
Loan Officer:
Street Address:
City:
State:
Zip:
Loan Officer Phone:
Loan Officer Email:
Surveyor Information:
Name:
Phone:
Termite Company:
Name:
Phone:
Realtor Information:
Seller's Realtor:
Phone:
Buyer's Realtor:
Phone:
* Transaction Type:
Purchase Money Mortgage
Cash Sale
Construction Loan
Refinance
Equity Line or Second Mortgage
*Services Requested:
Title Commitment
Wiring Instructions
Alta 9.1
Alta 8.1
Alta 6.1
Alta 5.1
Title Report Letter
Other
If Other, please specify:
Proposed Closing Date:
Additional Comments/Special Instructions:
* Enter the characters shown on the right: verification

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