600 Baltimore Avenue, Suite 208
Towson, MD 21204-4084
(410) 296-2550

 

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TITLE ORDER FORM

CONTACT INFORMATION
A value is required.Invalid format.

 

BROKER INFORMATION
LOAN OFFICER/BROKER'S NAME
 
PROCESSOR NAME
   
PHONE NUMBER
   
FAX NUMBER
   
BROKER EMAIL

 

BORROWER/BUYER INFORMATION
BORROWER
CO-BORROWER
HOME PHONE
PROPOSED SETTLEMENT DATE
WORK PHONE

 

SELLER INFORMATION (if applicable) & REALTOR INFORMATION
NAMES
CONTACT PHONE NUMBERS
WAS A REALTOR INVOLVED?
Yes No
SELLER'S NAME
HOME PHONE
WORK PHONE
SELLER'S AGENT NAME

SELLER'S AGENT PHONE

BUYER'S AGENT NAME
BUYER'S AGENT PHONE

 

PROPERTY ADDRESS (All Fields In This Area Are Required)
ADDRESS
COUNTY/CITY
CITY
STATE
ZIP

 

NEW LOAN INFORMATION
LENDER
PHONE
FAX
ADDRESS
CITY
STATE
APPROXIMATE LOAN AMOUNT $
NEW LOAN POSITION
PURCHASE OR REFINANCE?


TYPE OF LOAN

 

TITLE INSURANCE Prior policy copy available?_______For reissue
TITLE INSURANCE REQUESTED?

INSURED CLOSING LETTER REQUIRED?
NEW LENDER NAME

 

LOAN PAYOFF INFORMATION - Send copy of Borrower's authorization
1st
 
LENDER
PHONE NUMBER
CHECK IF SUBORDINATING
   
2nd
 
LENDER
PHONE NUMBER
CHECK IF SUBORDINATING
   
3rd
 
LENDER
PHONE NUMBER
CHECK IF SUBORDINATING

 

SPECIAL INSTRUCTIONS