Submit your application for title or settlement services here Applicant's Name * First Name Last Name Applicant's Email * Applicant's Phone * (###) ### #### Applicant's Role in Transaction * Buyer's Attorney Seller's Attorney Selling Agent (buyer's agent) Listing Agent (seller's agent) Buyer or Borrower Seller Other, see notes Services Being Requested Please check all that apply Owner's Title Insurance Lender's Title Insurance Settlement Services Report of Title (No Insurance) Addresses of all properties involved in transaction * Please include full address, with lot and block if possible. Names of all Sellers/Current Owners * Seller's/Owner's Email Names of all Buyers for purchase transactions Buyer's Email Seller's/Owner's Attorney (if any) Please include attorney firm name and name of individual attorney representing the seller/owner Buyer's Attorney (if anyu) Please include attorney firm name and name of individual attorney representing the buyer Sales Price $ Loan 1 amount $ Loan 2 amount $ Estimated Settlement Date MM DD YYYY Additional Services Requested Please check all requested Additonal Upper Court Name (See notes) Order Survey (Request surveyor in notes) Order Flood Order Flood Life of Loan Order Tidelands Wetlands Search Pending Litigation Search (name parties in notes) ADDITIONAL NOTES Thank you! A member of our team will confirm the details with you soon.
