Title Order Form

Title Services Order Form

New Order Number

Today's Date:	Needed By:		Closing Date

Time / Place:	Owner’s Policy $		Mortgage Policy $

Letter Report	Search & Hold		Verbal Update

Prior Title
Attached	No Prior Title		Closing Services: (Please send closing information sheet)

Present Owner / Seller:

Buyer:

Property Address City: State: ZIP:

Tax Parcel Number:

Legal Description

Property Type (please choose)
1-4 Family Residential	Condo		Vacant Land
Other

Lender Name:		Phone #
Lenders Address City: State: ZIP:

Listing Broker	Phone#		FAX
Selling Broker:	Phone#		FAX
Sellers Attorney	Phone#		FAX
Buyers Attorney	Phone#		FAX

Special Instructions
Special Assessment Letters Yes No	Tax Bill Yes No		Sanitary District Letter Yes No 0

Ordered By	Phone #		FAX#