Title Request Form

To: Email:
 
From: Email:
 
Re:
 
Prop. Location:

Please complete the following information:
   
Buyer's Name: Seller's Name:
     
Marital Status of Seller: Single Married
   
Seller's Phone Number:  
   
Social Security Number:  
   
Owner's Title Insurance Policy: Yes No (If yes please fax)
   
Warranty Deed: Yes No (If yes please fax)
 
Name of Mortgage Company, If there are any existing mortgages on the property.
   
Co. Name: Acct. #:
     
Phone #:    

Name of Homeowner's or Condo Association and Contact person, if applicable, and telephone numbers for association or management company.
   
Name: Contact Person:
   
Phone: Fax:
 
Seller's Attorney name, phone number and fax nymber. (If applicable)
 
Name: Phone: Fax:
 
To what city does the seller pay his/her water bill:
     
Your commission and transaction fee: $
   
Folio/Tax ID number:  
   
Seller's forwarding address: Address:
     
City: State: Zip:
     
 

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