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© Copyright 2007 TitleSmart
   
PLEASE FILL OUT THE FORM AS DETAILED AS POSSIBLE.
     
Date Needed:
 
Closing Date:
 
Application Date:
 
TS File #:
 
Customer Reference #:
 
   
Purchase Price $
 
Loan Amount $
 
   
Owners Policy:
 
Loan Type:
 
   
Buyer / Borrower:
Current Address:
Buyer #1 SSN:
 
Home Phone #:
 
Work #:
 
Email:
  
   
Buyer #2 SSN:
 
Home Phone #:
 
Work #:
  
Email:
  
   
LENDER TO BE INSURED:
Institution Name:
Office Address:
Phone #:
 
Fax #:
 
Loan Officer:
 
Email:
  
Processor:
  
Email:
  
   
Seller:
Current Address:
Home Phone #:
 
Work #:
 
Home Phone #:
  
Work #:
  
   
   
Property Address:
County:
  
Tax ID#:
 
Legal Description:
   

Abstract or Torrens

(Certificate # )
   
Property Type:
1-4 Family Residential
Condominium
Vacant Land
Commercial
Existing Structure
New Construction
Completion Date:
Other:
   
Prior Title Evidence:
Title Policy
Abstract
RPA
None
Location:
Existing Mortgage With:
 
Loan #:
 
Known Claims or title difficultires:
   
Services required:
 
Priority Photos  
Assessment Search  
Closing  
Arm Endorsement  
Flood Search  
Other:
   
COPY OF COMMITMENT TO:  
Ordered By:
 
Firm:
  
Address:
  
Phone:
  
Fax:
  
Email:
  
URL:
  
     
Are you a:
Lender  
  Broker  
     
 
 
© Copyright 2007 TitleSmart, Inc

 

PHONE: 651.779.3075 FAX: 651.779.3066