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Title and Closing Order Form

Please complete the information below and hit submit. We will process this order for closing as soon as possible. If you prefer you may download this form in PDF format, complete it, and fax it to the fax number at the top of the form. You will need Adobe Acrobat Reader in order to view this PDF document. Thank you.

Contact Information
Person Submitting Order:
 Phone:
 Fax:
 Email:
Street Address:
 City:
 State:
 Zip:
Seller Information
Name:
 Marital Status:
 Social Security Number:
Street Address:
 City:
 State:
 Zip:
Name:
 Marital Status:
 Social Security Number:
Street Address:
 		City:
 State:
 Zip:
Mail away to seller(s)?
Yes  No 		Is this a foreign seller:
Yes  No 		Phone:
 Fax:
Buyer Information
Name:
 Marital Status:
 Social Security Number:
Street Address:
 City:
 State:
 Zip:
Name:
 Marital Status:
 Social Security Number:
Street Address:
 City:
 State:
 Zip:
Mail away to buyer(s)?
Yes  No 		Is this a foreign buyer:
Yes  No 		Phone:
 Fax:
Property Information
Property Address:
Legal Description:
Closing Date:
 Contract Effective Date:
 Purchase Price:
 Property Is:
Residential Commercial
Current Mortgage Lender:
 Loan Number:
New Mortgage Lender:
 Loan Amount:
Mortgage Contact Name:
 Phone:
 Fax:
Homeowners' Insurance Agent:
 Phone:
 Fax:
Flood Insurance Agent:
 Phone:
 Fax:
Survey Ordered From:
 By:
 Amount:
Well/Septic Inspection Ordered From:
 By:
 Amount:
Termite Inspection Ordered From:
 By:
 Amount:
Home Inspection Ordered From:
 By:
 Amount:
Home Protection Plan charged to:
 Amount:
 Payable To:
Is there a mandatory Homeowners/Condominium Association and if so please provide contact information.
Name:
 Phone:
 Fax:
Street Address:
 City:
 State:
 Zip:
Amount:
 Paid Through:
 Payable:
Monthly Quarterly Yearly Other
Deposit Received:
 Date:
 Held By:
Realtor Information
Commission:
 Split:
Listing Associate:
 Listing Office:
Office Phone:
 Cell:
 Fax:
Selling Associate:
 Selling Office:
Office Phone:
 Cell:
 Fax:
Additional Comments:

 

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