Title Order Form

Please enter all available information

Date of Order mm/dd/yyyy format

Listing Agent Information

Listing Agent First & last name Office Listing agent's office Office Phone ###-###-#### Office Fax ###-###-#### Commission Transaction Fee $###.##

Selling Agent Information

Selling Agent First & last name Office Selling agent's office Office Phone ###-###-#### Office Fax ###-###-#### Commission Transaction Fee $###.##

Escrow

Name Add your name Deposit in Escrow $####.## Deposit Held By Company or Brokerage

Property Information

Please enter all available information

Legal Description As Found on Deed Parcel ID # Enter Parcel ID Number Street Address # and Name City, Zip City, #####

Transaction Details

Transaction Type Selcect From Dropdown Cash New Mortgage Refinance Assumption Mail Away Closing? Select From Dropdown Yes No Proceeds Select From Dropdown Wire Check

Seller's Information

Seller Name Enter Seller's Name SS# ###-##-#### Marital Status Enter Marital Status Street Address Number and Street Name City, State, Zip City, State, ##### Phone ###-###-#### Fax ###-###-#### Email example@example.com Attorney Name and Office Attorney Phone ###-###-#### Attorney Fax ###-###-#### Second Seller Second Seller's Name SS# ###-##-####

Second Seller's Information

If different from first Seller

Marital Status Enter Marital Status Street Address Number and Street Name City, State, Zip City, State, ##### Phone ###-###-#### Fax ###-###-#### Email example@example.com Attorney Name and Office Attorney Phone ###-###-#### Attorney Fax ###-###-####

Buyer's Information

Buyer Name Enter Buyer's Name SS# ###-##-#### Marital Status Enter Marital Status Street Address Number and Street Name City, State, Zip City, State, ##### Phone ###-###-#### Fax ###-###-#### Email example@example.com Attorney Name and Office Attorney Phone ###-###-#### Attorney Fax ###-###-#### Second Buyer Second Buyer's Name SS# ###-##-####

Second Buyer's Information

If different from first Buyer

Marital Status Enter Marital Status Street Address Number and Street Name City, State, Zip City, State, ##### Phone ###-###-#### Fax ###-###-#### Email example@example.com Attorney Name and Office Attorney Phone ###-###-#### Attorney Fax ###-###-#### Seller Fax ###-###-####

Existing Mortgage Information

Lender Loan# Loan Number Phone ###-###-#### Fax ###-###-#### HOA Name HOA/CA Name Mangmt Co. Company Name Phone ###-###-#### Fax ###-###-####

Buyer's Financing Information

Loan Officer Name of Loan Officer Phone ###-###-#### Fax ###-###-#### FedEx Address City, State, Zip Sales Price $###,###.## Closing Date mm/dd/yyyy Closing Location Preferred Location

Image Verification

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