*Advantage Title to close: Yes No
COUNTY
Owners Policy Amount $
Lender Policy Amount $
Deed: Yes No
Order Deed from
Title Insurance/Commitment: Yes No
ALTA Homeowner's Policy: Yes No
Construction-permanent: Yes No
*Order Requested By:
Requested By/Company:
Requested By/Company Address:
Street
City
State Zip
*Phone
*Fax
*Email
SELLER
Name(s)
SELLER
E-Mail address
SELLER
Forwarding address
BUYER
Name(s)
BUYER
Current address
BUYER
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 Title 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 Seller be at closing? Yes No
Will Buyer be at closing? Yes No
POA needed? Seller: Yes No
If yes, who will act as POA for who?
POA needed? Buyer: Yes No
If yes, who will act as POA for who?
Has Lender approved the use of a POA? Yes No
Lender Contact:
Will Seller be wiring funds? Yes No
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.
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