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To request Title, just complete this online Title Request form.

Or, if you'd prefer to download a form and fax it back to us after completion, click here to download our Request for Title Form (PDF)

Title Request form

required fields


Your Company Name
Your Company Address
Your Phone (999-999-9999)
Your Email
Mortgagee/Lender Name
Mortgagee/Lender Address
Lender Case Number
FHA Case Number
Borrower/Buyer Information
Name
Address
Phone
Email
Buyer Agent Name
Phone
Fax
Email
Property & Mortgage Information
Occupancy Status		Primary Residence Second Home Investment Property
Loan Purpose		Purchase Cash-Out Refi No Cash-Out Refi Reverse Mortgage
Sales Price
Loan Amount
Property Address
Legal Description
Property Type		Detached Attached Condo PUD Co-Op
Seller Information
Name
Last 4 Digits Seller's SSN
Phone
Email
Forwarding Address
Listing Agent Name
Phone
Fax
Email
Payoffs
	Loan Officer, Processor or Lender will order payoffs Please order payoffs (loan information is below)

Lender One Loan Account Number
Lender Two Loan Account Number
Last 4 Digits Borrower's SSN
Title Commitment Information
Type of Policy
Estimated Closing Date (mm/dd/yy)
Mail Away		Yes No
Special Instructions
Please attach the appropriate documents if available
Prior Title Policy		Click the Browse button to select an image (.jpg, .png or .gif), Microsoft Word (.doc), Adobe Acrobat (.pdf), or text (.txt) file to send with this message.
Sales Contract		Click the Browse button to select an image (.jpg, .png or .gif), Microsoft Word (.doc), Adobe Acrobat (.pdf), or text (.txt) file to send with this message.
Deed/Misc. Docs		Click the Browse button to select an image (.jpg, .png or .gif), Microsoft Word (.doc), Adobe Acrobat (.pdf), or text (.txt) file to send with this message.