*Advantage Title to close: Yes  No                     

COUNTY 

Owners Policy Amount $  

Lender Policy Amount $     

Deed: Yes  No

Order Deed from 

Title Insurance Policy?:   	Yes  No

Short Term/Commitment only?***	Yes  No

***NOTE:  In order to obtain insurance coverage, additional premium will be required.

*Order Requested By: 

Requested by/Company:               

       Requested by/Company Address:
Street 
       
City     
State    Zip 
*Phone 
*Fax   
*Email 

	
SELLER 
       Name(s)
SELLER 
       E-Mail address
Buyer/Borrower  
       Name(s)
Buyer/Borrower  
       E-Mail address

How are buyers taking title?
An Adult  Husband & Wife  Joint Tenants With Rights of Survivorship  Tenants-in-common
Other 

LENDER 

        Property Address:
*Street 
       
*City     
State    Zip 


Key Number 


Legal: 

(Please enter dates in format: MM/DD/YY)
Date Ordered:     *Date Needed: 

Prior Title Policy available:    Yes  No

(Note:  Prior Policy must be included with the order to receive discount)

COMMENTS 

Package e-mailed?  Yes  No

Package delivered?  Yes  No

Overnight package to Lender?  Yes No 

Broker package?  Yes  No

Will Buyer/Borrower be at closing:  Yes  No

POA needed?  Yes  No

If yes, who will act as POA for who?

Has lender approved the use of POA?  Yes  No

Lender contact:  

Will Buyer/Borrower be wiring funds:  Yes  No

*Payoff needed?  Yes  No

Lender:  
Loan#    
SS#      

Lender:  
Loan#    
SS#      

Lender:  
Loan#    
SS#      

Note: Press the Print button on your
browser to get a copy for your records.

If you do not receive confirmation of this order 
within 24 hours, please give us a call.

 


* Required fields